对于急性心肌梗塞的远程医疗干预的成本效益:系统性审查
Majid Abedinejad1, Mohammad Hadian1, Soudabe Behrooj2
1Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Medical journal of the Islamic Republic of Iran
|January 9, 2025
概括
对急性心肌梗塞 (AMI) 的远程医疗有望改善患者的生活质量并降低医疗保健成本. 虽然它通常具有成本效益,但其经济效益取决于疾病阶段和具体干预措施.
科学领域:
- 心脏病学 心脏病学
- 卫生经济学 卫生经济学
- 远程医疗服务是远程医疗服务.
背景情况:
- 急性心肌梗塞 (AMI) 是全球主要的死亡原因.
- 传统的治疗方法包括血栓缓解药物和穿皮冠状动脉干预.
- 远程医疗为门诊AMI管理提供远程监控,特别是在农村地区.
研究的目的:
- 系统地审查对急性心肌梗塞 (AMI) 患者远程医疗干预的经济评估研究.
主要方法:
- 按照PRISMA指南 (2022) 进行的系统审查.
- 搜索了主要的数据库 (PubMed,Scopus,科学网等) 在2000年至2022年的研究中,使用关键词"远程医疗"和"心肌梗塞".
- 包括6项研究,在选904个记录后,分析了成本效益,成本分析和成本效益.
主要成果:
- 经过审查的研究表明,远程医疗可以提高生活质量并降低与疾病相关的费用.
- 经济结果是使用经质量调整的寿命年 (QALYs) 来衡量的.
- 支付意愿的门从20,000美元到10万美元不等.
结论:
- 对AMI的远程医疗干预通常具有成本效益和益处.
- 在某些疾病阶段,可能会增加成本,并且在有效性上没有显著的差异.
- 需要进一步进行经济评估,以优化在AMI护理中远程医疗的实施.
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