对痴呆症干预措施的基于模型的经济评估:更新的系统审查和质量评估
Mohsen Ghaffari Darab1,2, Lidia Engel3, Dennis Henzler4
1School of Health and Social Development, Deakin Health Economics, Institute for Health Transformation, Deakin University, Geelong, Australia. mghaffaridarab@deakin.edu.au.
Applied health economics and health policy
|March 30, 2024
概括
这次对痴呆症干预经济评估的审查发现许多研究具有成本效益,但报告和方法不够理想. 未来的研究应该专注于改进模型假设和数据质量,以便更好地分配痴呆症护理资源.
科学领域:
- 卫生经济学 卫生经济学
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对痴呆症干预措施的基于模型的经济评估正在增加.
- 之前的审查发现了模型假设和数据输入的证明方面的弱点.
研究的目的:
- 更新对痴呆症干预措施经济评估的系统审查.
- 评估痴呆症经济评估中的方法改进和研究质量.
主要方法:
- 从2018年2月到2022年8月,对8个数据库进行系统搜索.
- 使用飞利浦检查清单和CHEERS 2022检查清单进行质量评估.
- 对发现的叙述分析.
主要成果:
- 包括23项研究:87%的成本效益分析,涵盖药物,非药物,预防和诊断干预措施.
- 马尔科夫模型很常见 (65%);几个干预措施被认为具有成本效益.
- 在方法/结果部分报告不足;对模型结构,数据质量和不确定性分析的合理性有限.
结论:
- 对痴呆症干预措施的经济评估显示出希望,但需要改进方法和报告.
- 这些发现指导了未来的研究和对痴呆症护理的资源配置.
- 解决发现的弱点将提高经济评估的可靠性.
相关概念视频
Alzheimer's Disease: Treatment
184
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
184
Dementia
113
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
113
Alzheimer's Disease: Overview
469
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
469
Nursing Evaluation
3.3K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.3K


