多组件初级保健干预高血压的成本效益
Junxing Chay1, Tazeen H Jafar1,2,3, Rebecca J Su1
1Program in Health Services & Systems Research Duke-NUS Medical School Singapore.
Journal of the American Heart Association
|April 12, 2024
概括
辛格高血压干预有效降低了心血管疾病 (CVD) 风险在患有失控高血压的患者. 该计划提供了良好的价值对金钱,使其成为改善公共卫生的成本有效策略.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 心血管疾病管理管理
背景情况:
- 在新加坡,SingHypertension干预改善了无控高血压患者的血压控制和心血管疾病 (CVD) 风险.
- 这项研究从卫生系统的角度评估了SingHypertension干预措施的成本效益.
研究的目的:
- 量化与常规护理相比,SingHypertension干预措施的增量成本效益.
- 为了确定干预所避免的每年残疾调整寿命 (DALY) 的成本.
主要方法:
- 一个马尔科夫模型模拟了10年的CVD事件和结果.
- 成本是用美元来衡量,有效性是用DALY来衡量.
- 进行了敏感性分析,以评估结果的可靠性.
主要成果:
- 辛格高血压的成本效益在每天55500美元的愿意支付门 (ICER:每天24765美元).
- 尽管风险降低在10年内线性下降,但成本效益仍然保持不变.
- 干预的成本效益与降低心血管疾病风险的程度有关,需要至少降低0.13%-0.16%的10年心血管疾病风险.
结论:
- SingHypertension在降低心血管疾病发病率,发病率和死亡率方面提供了良好的价值.
- 该干预措施应考虑在新加坡和潜在的其他国家广泛实施.
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