估计加纳高血压管理的终身成本:一项建模研究
Fidelis Atibila1,2, James Avoka Asamani3, Emmanuel Timmy Donkoh4
1Valley View University, Techiman-Bono East Region, Ghana.
Health services insights
|April 1, 2024
概括
加纳的高血压 (HPT) 治疗造成了相当大的终身成本,估计超过8.69亿加元. 这凸显了迫切需要有效的卫生政策来管理这种日益增长的非传染性疾病负担.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 高血压 (HPT) 是加纳的主要死亡和发病原因.
- 加纳正在经历流行病学转型,非传染性疾病 (如HPT) 的增加.
- 卫生政策研究正在将重点从传染性疾病转移到非传染性疾病.
研究的目的:
- 为了估计加纳治疗高血压的终身成本.
- 从患者和卫生系统的角度分析成本.
- 为健康政策提供有关HPT管理的信息.
主要方法:
- 使用了疾病成本框架.
- 微软Excel中的一个决策分析模型 (DAM) 模拟了HPT进展.
- 马尔科夫模型被用来计算终身成本,考虑到4个主要的目标器官并发症.
主要成果:
- 在10,20和30年内死于HPT并发症的概率分别约为41%,70%和82%.
- 治疗HPT的估计终身折扣成本为GHS 869,106 (美元 119,056).
- 成本可以在很大的不确定性下大幅度变化,从GHS 570,239到GHS 1,202,000.
结论:
- 强调HPT治疗的终身成本对于制定政策至关重要.
- 对非传染性疾病部门和国家健康保险局 (NHIA) 的建议是隐含的.
- 政策制定应解决加纳高血压的经济影响.
更多相关视频
相关概念视频
Errors occurring during blood pressure monitoring
720
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
720
Hypertension and Regulation of Blood Pressure
2.1K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
2.1K
Pre-Procedural Guidelines for Assessing Blood Pressure
563
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
563
Factors affecting Blood pressure
3.2K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
3.2K
Alterations in Blood Pressure
1.2K
Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
1.2K
Assessment of blood pressure in brachial artery(two-step method)
705
Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
705


