与通常的护理相比,基于初级保健的健康体重诊所的成本效益
Mona Sharifi1, Lauren G Fiechtner2,3, Jessica L Barrett4
1Section of General Pediatrics, Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut, USA.
Obesity (Silver Spring, Md.)
|August 28, 2024
概括
预计在联邦合格卫生中心 (FQHCs) 全国实施健康体重诊所 (HWC) 将具有成本效益,可能减少儿童肥胖和健康差异.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 儿童肥胖症 儿童肥胖症
背景情况:
- 儿童肥胖是一个重大的公共卫生问题,特别是在服务不足的人群中.
- 初级保健机构为早期干预提供了机会.
- 联邦合格卫生中心 (FQHCs) 服务于弱势社区,对实施健康倡议至关重要.
研究的目的:
- 预测国家实施健康体重诊所 (HWC) 干预措施的成本效益.
- 评估HWC对不同种族和种族群体儿童肥胖患病率的潜在影响.
- 从医疗保健和社会角度评估经济影响.
主要方法:
- 从2023-2032年开始,在FQHC中实施国家HWC的微模拟建模.
- 从医疗保健和社会角度估计干预成本.
- 利用了HWC试验中的BMI变化估计,并进行了概率灵敏度分析.
主要成果:
- 预计将在10年内覆盖888000名儿童.
- 平均干预成本为每名儿童456美元 (医疗保健部门) 和211美元 (家庭).
- 估计在10年内获得了2070个QALY,并节省了1460万美元的医疗成本,每次获得QALY的净成本为278,000美元.
- 与白人人口相比,西班牙裔/拉丁裔和黑人人口的肥胖率减少预计更大.
结论:
- 健康体重诊所 (HWC) 的每个儿童成本相对较低.
- 预计FQHCs的国家实施将减少儿童肥胖差异.
- 该干预措施显示出具有重大公共卫生影响和经济价值的潜力.
相关概念视频
01:30Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
01:30Preventive Healthcare Services
974
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
974
01:24Obesity
416
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
416
01:18Models of Health Promotion and Illness Prevention II
1.6K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.6K
01:26Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
01:25Models of Health Promotion and Illness Prevention I
2.0K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.0K