对韩国慢性阻塞性肺病 (COPD) 的老年住院患者的过渡性护理服务的成本效益分析
Yu Seong Hwang1, Woo Jin Kim2, Tae Hyun Kim3
1Department of Health Policy and Management, School of Medicine, Kangwon National University, Chuncheon-si, Gangwon State, Republic of Korea.
Cost effectiveness and resource allocation : C/E
|March 2, 2024
概括
过渡期护理服务 (TCS) 是一种具有成本效益的策略,用于管理慢性阻塞性肺病 (COPD),减少再入院和改善患者的治疗结果. 这项研究强调TCS是主要的选择,特别是在症状严重的老年患者中.
科学领域:
- 卫生经济学 卫生经济学
- 肺部病理学 肺部病理学
- 医疗保健管理的管理
背景情况:
- 慢性阻塞性肺病 (COPD) 由于再入院率高,造成了重大负担.
- 韩国试行过渡期护理服务 (TCS),以减轻COPD重收患者的风险.
- 此前,对于COPD患者的TCS的成本效益数据缺乏.
研究的目的:
- 评估COPD患者过渡期护理服务 (TCS) 的成本效益.
- 从医疗保健系统的角度分析TCS.
- 为优化COPD管理策略提供证据.
主要方法:
- 使用马尔科夫模型进行了成本效益分析.
- 过渡概率和医疗费用来自国家健康保险服务高级队列 (NHIS-SC).
- 实用数据来源于现有文献,并进行了针对强度的灵敏度分析.
主要成果:
- 在10年内,TCS在各个年龄组 (60至80岁) 显示了增量质量调整寿命年增长 (0.231-0.296) 和成本节省 (225至2251美元).
- 敏感性分析显示,TCS成本和再接收成本是关键影响因素.
- 概率分析显示,TCS在所有年龄组中具有超过85%的成本效益 (低于23,050美元ICER) 的概率.
结论:
- 与COPD管理的通常护理相比,过渡性护理服务 (TCS) 是一个主要的策略.
- 优先考虑70岁以上患有严重症状的患者,并在TCS内管理相关疾病,可以提高医疗保健预算优势.
- 将并发症管理集成到TCS中,对于最大限度地获得好处至关重要.
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