患者在心血管风险类别中的医疗资源利用和成本估计:来自LATINO研究的见解
Cristina Gavina1,2,3, Alexandra Borges4, Marta Afonso-Silva5
1Cardiology Department, Hospital Pedro Hispano-Unidad Local de Saúde Matosinhos, Matosinhos, Portugal.
Health economics review
|September 12, 2024
概括
患有高心血管疾病 (CVD) 风险的患者,特别是患有动脉样硬化心血管疾病 (ASCVD) 的患者,需要支付大量的医疗费用. 风险评估和预防是有效管理这些高成本患者群体的关键.
科学领域:
- 心血管医学 心血管医学
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 动脉样硬化心血管疾病 (ASCVD) 构成了全球重大健康挑战.
- 了解医疗保健资源利用 (HRU) 和相关成本对于有效管理至关重要.
研究的目的:
- 估计葡萄牙动脉样性心血管疾病 (ASCVD) 患者的HRU和成本.
- 根据心血管疾病 (CVD) 风险类别对医疗保健成本进行分层,使用现实世界的数据.
主要方法:
- 使用电子健康记录 (2017-2021) 的回顾性观察研究.
- 包括40岁以上的患者,以前有过全科医生预约.
- 使用2021年ESC指南评估心血管疾病风险;HRU包括住院,急救/门诊访问和GP预约.
主要成果:
- 在五年内观察到的一致的HRU和成本.
- 非常高风险的患者,特别是那些先前患有ASCVD的患者,表现出更高的HRU和成本.
- 随着心血管疾病风险水平的提高,成本增加;ASCVD风险等价物是显著的消费者.
结论:
- 患有非常高心血管疾病风险的患者,特别是那些先前患有ASCVD的患者,需要承担相当大的HRU和成本.
- ASCVD风险等价值代表了重要的医疗保健消费者,强调了风险评估和预防策略的必要性.
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