对老年多病性心力衰竭患者的混合协作护理的健康经济评估:研究协议
Lisa Derendorf1, Stephanie Stock2, Dusan Simic2
1Faculty of Medicine and University Hospital of Cologne, Institute of Health Economics and Clinical Epidemiology, University of Cologne, Cologne, Germany. lisa.derendorf@uk-koeln.de.
Cost effectiveness and resource allocation : C/E
|April 13, 2024
概括
混合协作护理 (BCC) 可以改善心力衰竭患者与心理社会问题负担得起的生活质量. 这份ESCAPE试验的经济评估评估了BCC.
科学领域:
- 卫生经济学 卫生经济学
- 综合护理模式 综合护理模式
- 多发病性疾病管理
背景情况:
- 患有心力衰竭 (HF) 的多病患者经常经历重大的心理社会负担,影响他们的健康相关生活质量 (HRQoL).
- 混合协作护理 (BCC) 是一种综合护理策略,旨在以低额外成本解决这些挑战.
- ESCAPE试验是一项随机对照试验,评估了五个欧洲国家的BCC.
研究的目的:
- 记录与执行BCC干预相关的成本.
- 评估BCC在不同研究地点的运营运行成本.
- 评估BCC与常规护理相比的短期成本效益和成本效益.
- 检查实施BCC.的更广泛的预算影响.
主要方法:
- 基于试验的经济分析,从付款人的角度使用跨国成本效益和成本效益评估.
- 经质量调整的寿命年 (QALYs) 计算使用EQ-5D-5L和国家价值集.
- 以每次避免入院的成本和每次无抑郁日 (DFD) 的成本来衡量成本效益.
- 通过电子健康记录,问卷,患者收据和护理经理调查收集的资源利用数据.
- 使用启动方法进行的不确定性分析.
主要成果:
- 对ESCAPE试验的经济评估提供了关于BCC的成本和结果的全面数据.
- 调查结果将为BCC干预措施的潜在好处和成本效益提供信息.
- 这项研究遵循CHEERS2022指南,并已注册 (DRKS00025120).
结论:
- 多样化的数据采集方法提供了关于BCC的好处和经济可行性的见解.
- 经济评估将有助于BCC实施的结构和组织规划.
- 预计通过BCC改善的患者护理将以最小的额外支出提高HRQoL.
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