越南针对高血压控制的社区干预措施的成本效益分析
Viet Nguyen1, Duc Anh Ha1, Oanh Mai Tran1
1Ministry of Health.
Research square
|May 20, 2024
概括
在越南,以社区为基础的高血压干预,整合卫生工作者和自我监测,是具有成本效益的. 这种方法为管理失控高血压和改善公共卫生结果提供了有价值的策略.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 预防医学 预防医学
背景情况:
- 在越南,不受控制的高血压是一个重大的公共卫生挑战.
- 2010-2011年间,在洪省实施了一项以社区为基础的干预措施.
- 该干预旨在通过综合服务改善高血压管理.
研究的目的:
- 评估多方面的社区高血压干预措施的成本效益.
- 从有限的社会角度评估干预措施的经济影响.
- 提供关于社区高血压控制对公共卫生的影响的见解.
主要方法:
- 使用了一个马尔科夫模型,在整个生命周期中使用一年周期.
- 该分析包括一个671名患者的队列.
- 通过计算每获得的质量调整寿命年 (QALY) 的增量成本来确定成本效益.
主要成果:
- 每个获得的QALY的终身增量成本大约为90.37万越南 (3,930美元).
- 该干预措施在每QALY的三倍GDP的支付意愿下,具有80%的成本效益概率.
- 这些发现表明该干预措施在管理高血压方面的经济可行性.
结论:
- 基于社区的干预措施是控制高血压的潜在有效策略.
- 该研究强调了综合社区卫生服务对高血压管理的经济效益和可行性.
- 这项研究为公共卫生政策和高血压控制计划的资源配置提供了有价值的数据.
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