产后高血压的远程血压管理:一个成本效益分析
Jenny Y Mei1, Alisse Hauspurg2, Kate Corry-Saavedra1
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of California, Los Angeles, Los Angeles, CA (Mei, Corry-Saavedra, Nguyen, and Murphy).
American journal of obstetrics & gynecology MFM
|July 29, 2024
概括
产后高血压的远程血压管理是一种节省成本的策略,可以改善健康结果. 这种方法比通常的护理提供了更好的结果,支持这些计划的更广泛采用.
科学领域:
- 孕产妇健康 孕产妇健康
- 卫生经济学 卫生经济学
- 数字健康数字健康
背景情况:
- 妊娠的高血压疾病需要密切的产后监测.
- 产后远程血压管理计划越来越多地实施.
- 评估这些计划的成本效益对于可扩展性至关重要.
研究的目的:
- 评估远程血压管理与产后高血压的通常护理相比的成本效益.
- 为了确定远程血压管理干预措施的可扩展性.
主要方法:
- 在14天内使用马尔科夫模型进行成本效益分析.
- 模拟远程管理包括家庭监测,症状指导和临床监督.
- 通常的护理包括症状指导和一次门诊.
- 质量调整寿命年 (QALYs) 和避免重收是主要结果.
- 从社会角度进行分析.
主要成果:
- 远程血压管理是主要的策略,成本更低,在基准情景中产生更高的QALY.
- 避免重新入院的增量成本为145.00美元.
- 远程管理在99.28%的模拟中具有成本效益,假设愿意支付每QALY.100,000美元.
结论:
- 对于产后高血压的远程血压管理是节省成本和优于通常的护理.
- 这些发现支持传播和资助远程血压管理计划.
- 这一战略为改善产后护理提供了一个可扩展的解决方案.
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