中国的数字技术驱动的等级医疗保健查模式的成本效益和成本效益
Xiaohang Wu1, Yuxuan Wu1, Zhenjun Tu2
1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Vision Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, Guangdong, China.
Nature communications
|April 30, 2024
概括
数字技术驱动的层次查 (DH查) 是中国白内障查的一种具有成本效益的策略. 年度DH查是最经济的选择,可以防止长期失明,并改善眼睛健康的可获得性.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 人口老龄化和资源差距对像白内障这样的疾病的医疗保健提供了挑战.
- 数字技术为初级保健查提供了创新的解决方案.
- 白内障查对于预防视力丧失和维持生活质量至关重要.
研究的目的:
- 在中国提出和评估数字技术驱动的层次查 (DH查) 模式.
- 与其他策略相比,评估DH查的成本效益和成本效益.
- 通过创新的查方法,促进公平和可访问的眼科保健.
主要方法:
- 开发一种DH查模式:家庭AI查,社区AI诊断,转诊医院.
- 利用决策分析的马尔科夫模型进行成本效益和成本效益分析.
- 在30个一年周期中模拟了50岁以上的10万个人的队列.
主要成果:
- 在城市和农村的中国,DH查显示出了成本效益,在没有查,远程查和AI查上占据主导地位.
- 与替代方案相比,每年DH查在"避免失明年"方面取得了显著的收益.
- 敏感性分析证实了DH查成本效益的稳定性.
结论:
- 红内障查是中国城市和农村地区白内障查的高成本有效策略.
- 年度DH查是最经济高效的方法,为公共卫生政策提供了强有力的理由.
- 该模型为改善低收入和中等收入国家眼睛健康提供了一个框架.
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