对于尿失禁儿童的网络管理支持系统的经济评估:eADVICE试验
Amy Von Huben1,2, Martin Howell1,2, Deborah Richards3
1School of Public Health, The University of Sydney, Sydney, Australia.
The Journal of urology
|April 11, 2024
概括
对于尿失禁的儿童,eADVICE基于网络的程序是节省成本和有效的. 这种数字健康干预措施改善了节制,并降低了等待专家预约的儿童的医疗费用.
科学领域:
- 数字健康数字健康
- 儿科泌尿外科 儿科泌尿外科
- 卫生经济学 卫生经济学
背景情况:
- 患有尿失禁的儿童需要长时间等待专家护理,这可能会使他们的病情恶化.
- 在等待期内及时干预可以改善结果并减少治疗复杂性.
- 基于网络的程序提供了一个可扩展的解决方案,用于管理慢性儿科疾病.
研究的目的:
- 评估eADVICE计划对等待专家预约的尿失禁儿童的成本效益.
- 在临床结果和医疗费用方面,将eADVICE计划与常规护理进行比较.
- 评估使用嵌入式对话代理来提供基于网络的健康计划的可行性.
主要方法:
- 基于试验的成本效益分析作为随机对照试验的副研究进行.
- 该研究比较了eADVICE计划 (由初级医生监督并通过对话代理提供) 与常规护理.
- 结果包括控制状态和生活质量,根据治疗意图进行分析,通过敏感性分析检查不确定性.
主要成果:
- 与常规护理相比,eADVICE计划被发现是节省成本和有益的.
- 显著更高的比例的儿童在6个月时达到超过14天的干燥 (风险差异为0.13,P = .03).
- 平均医疗保健费用减少了每位参与者188美元.
结论:
- 一个个性化的,以证据为基础的,基于网络的程序使用一个体现的对话代理是节省成本的儿童尿失禁.
- eADVICE计划显示了有利且实质性的经济影响.
- 这种方法可能可以转移到门诊机构的其他慢性儿科健康状况.
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