对于喘或COPD的数字健康干预措施的成本效益:系统审查
Marta Alexandra Martins Ferreira1, Adalberto Fernandes Dos Santos2,3,4, Bernardo Sousa-Pinto5,6
1Faculty of Health Sciences, University of Beira Interior, Covilha, Portugal.
概括
对于喘和COPD的数字健康干预措施在降低医疗保健成本方面显示出希望. 大多数研究表明,尽管成本各不相同,这些技术是负担得起的或降低了总体开支.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 卫生经济学 卫生经济学
- 数字健康数字健康
背景情况:
- 数字干预,包括远程监控,可以降低喘和慢性阻塞性肺病 (COPD) 的经济负担.
- 这些数字健康工具在治疗呼吸系统疾病方面的成本效益需要进行彻底的评估.
研究的目的:
- 系统地审查随机对照试验 (RCT),评估喘和COPD患者的数字健康干预措施的成本效益.
- 综合各种数字健康工具在呼吸系统护理中的经济影响的证据.
主要方法:
- 带有健康经济评估的RCT的系统审查.
- 在PubMed,Scopus和Web of Science数据库中进行了搜索.
- 使用RoB2工具评估研究质量.
主要成果:
- 包括35个RCT (21个COPD,13个喘,1个两者).
- 实时监控和远程咨询经常被发现具有成本效益.
- 电子患者日记产生了混合的经济结果.
结论:
- 对呼吸道疾病的数字健康干预通常被认为是负担得起的或节省成本的.
- 根据干预类型,随访持续时间和地理位置存在成本差异.
- 偏差风险较低的干预措施经常得出经济有利性结论.
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