成本效益分析比较传统和数字软件支持的甲状腺功能低下症管理.
Jung Hyun Kim1, Jaeyong Shin2,3, Man S Kim4
1Division of Tourism and Wellness, Hankuk University of Foreign Studies (HUFS), Yongin 17035, Republic of Korea.
The Journal of clinical endocrinology and metabolism
|October 24, 2024
概括
甲状腺功能低下症的可穿戴数字监测具有成本效益,改善生活质量. 与标准护理相比,这种方法提供了有利的增量成本效益比率 (ICER).
科学领域:
- 内分泌学 在内分泌学.
- 数字健康数字健康
- 卫生经济学 卫生经济学
背景情况:
- 可穿戴设备可以通过心率相关联来监测甲状腺功能.
- 通过数字监控解决方案,可以增强甲状腺功能低下症的管理.
研究的目的:
- 评估用于甲状腺功能低下的可穿戴/移动数字监控解决方案的成本效益.
- 将数字监测与传统的甲状腺功能低下症管理进行比较.
主要方法:
- 一个马尔科夫状态过渡模型模拟了10,000名患有甲状腺功能低下症的患者.
- 从医疗保健的角度评估成本效益,使用4.5%的折扣率和2022年的成本调整.
- 计算的终生结果和增量成本效益比率 (ICER),以及灵敏度分析.
主要成果:
- 数字监控组获得了0.65个质量调整寿命年 (QALY),增量成本为11,700.87.7美元.
- 每个获得的QALY的ICER为17,988.97美元,表明了成本效益.
- 在99%的代中,数字监控在32255美元/QALY的支付意愿值下是最佳的.
结论:
- 与标准护理相比,数字监测解决方案在甲状腺功能低下症管理方面具有成本效益.
- 数字解决方案的成本和灵敏度对于成本效益至关重要.
- 平衡数字监测成本,荷尔蒙精度和临床有效性至关重要.
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