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一个追溯的审计,随后的成本和环境分析的denosumab自我注射计划的审计

Jack Boylan, Jane Turton¹, Zoe Hicks²

¹The Bone Research Unit, Llandough University Hospital, Llandough, Cardiff and Vale University Health Board, Wales, UK.

|August 13, 2024

概括

与传统的诊所访问相比,德诺苏马布自注射计划 (SIP) 提供了显著的成本节约和环境效益. 这种以患者为中心的方法减少了临床接触,每年为每位患者节省420英,并降低了碳排放.

科学领域:

医疗保健服务研究医疗服务研究
药物经济学药物经济学
环境健康环境健康

背景情况:

代谢性骨健康部门为大量人口提供服务,管理需要denosumab治疗的患者.
传统的denosumab管理涉及定期的临床现场检查.
代诺苏马布自我注射计划 (SIP) 是作为一种替代性护理途径而开发的.

研究的目的:

评估与传统治疗途径相比,代诺苏马布自我注射计划 (SIP) 的成本效益.
评估SIP的环境效益,特别是减少碳足迹.
确定SIP对患者体验和资源利用的影响.

主要方法:

对3年 (2017-2019年) 的denosumab患者的临床数据进行了回顾性审计.
在传统途径上,SIP入学者 (n=233) 和对照组 (n=497) 之间的临床接触频率的比较.
对机会成本节约的财务分析和每名患者每年减少碳足迹的估计.

主要成果:

该SIP导致患者临床接触减少.
财务分析表明,每名患者每年节省420英的机会成本.
据估计,每名患者每年减少59公斤二氧化碳的碳足迹.
患者从减少旅行和减少临床访问中获得了好处.

结论:

代诺苏马布自注射计划 (SIP) 是对传统的代诺苏马布治疗途径的成本效益和环境有益的替代方案.
通过像SIP这样的计划来分散"更接近家庭"的护理,最大限度地利用资源并改善患者的体验.
该SIP展示了一种成功的模型,可以减少医疗保健对环境的影响,同时提高患者护理.

关键词:

老化的老化衰老的老化抗吸收药是一种抗吸收药.与骨相关的/相关的疾病和疾病.流行病学流行病学骨折预防预防骨折卫生经济学卫生经济学骨质疏松症是一种骨质疏松症.与实践/政策相关的治疗药物治疗药物

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