一个基于模型的成本效益分析,用于通用病房病情恶化的患者的自动通知系统
Emily Holmes1, Huw Lloyd Williams1, Dyfrig Hughes1
1Centre for Health Economics and Medicines Evaluation (CHEME), Bangor University, Bangor, United Kingdom.
PloS one
|May 2, 2024
概括
在英国医院实施自动化生命体征监测系统具有成本效益,提高了患者安全,节省了国家卫生服务 (NHS) 的资源. 这种电子系统显著提高了病情恶化的住院患者的临床结果.
科学领域:
- 卫生经济学 卫生经济学
- 临床信息学 临床信息学
- 患者安全 患者安全
背景情况:
- 住院患者临床恶化的延迟识别是医院中普遍存在的问题.
- 电子自动化生命体征监测和通知系统显示,改善临床结果是有前途的.
- 缺乏关于这些系统在英国国家卫生服务 (NHS) 内的成本效益的证据.
研究的目的:
- 与医院住院患者的标准护理相比,评估电子自动化咨询通知系统的成本效益和成本效益.
- 评估在NHS内实施此类技术的经济影响.
主要方法:
- 开发了一种决策分析模型,用于对整个生命周期的成本效益和成本效益分析.
- 在前后研究中利用了3787名住院患者的患者级数据的二次分析.
- 通过使用已公布的数据和进行的敏感性分析来评估不确定性来推断长期结果.
主要成果:
- 自动通报系统显示节省了成本 (每名患者12.17英),并减少了不良事件 (每名患者-0.027).
- 在整个生命周期中,该系统占主导地位,产生了QALY收益 (0.0287) 和成本节省 (55.35英).
- 在20,000英/QALY门下,该系统具有成本效益的概率为81%,即使在100%无线传感器使用的情况下也保持成本效益.
结论:
- 针对成年普通病房患者的自动通知系统是NHS中一个具有成本效益的干预措施.
- 采用这种技术是对稀缺资源的有价值的使用,大大提高了患者的安全.
- 该系统在各种患者人口统计和入院分数中被证明是具有成本效益的,在代表性患者群体中观察到的最大节约.
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