韩国助听器的成本效益:一个多州马尔科夫模型分析
Heonjeong Oh1,2,3,4, Chul Young Yoon4,5,6, Junhun Lee4,5,6
1Department of Medicine, Seoul National University College of Medicine, Seoul, Korea.
Clinical and experimental otorhinolaryngology
|January 20, 2025
概括
助听器是韩国50岁及以上成年人的一种经济有效的干预措施,改善了所有听力损失水平的生活质量. 这一发现支持将它们纳入针对老龄化人口的公共卫生政策.
科学领域:
- 卫生经济学 卫生经济学
- 听力学 听力学是指听力学.
- 公共卫生政策 公共卫生政策
背景情况:
- 听力损失影响了50岁及以上人口的很大一部分.
- 未经治疗的听力损失的经济影响需要评估具有成本效益的干预措施.
- 韩国面临着人口快速老龄化,听力健康的相关性越来越大.
研究的目的:
- 评估50岁以上韩国成年人使用助听器的成本效益.
- 确定助听器在不同程度听力损失的经济价值.
- 为公共卫生政策提供有关听力损失管理的信息.
主要方法:
- 一个状态过渡马尔科夫模型模拟了一个年龄在50到80岁之间的队列.
- 从社会角度评估了成本效益.
- 增量成本效益比率 (ICER) 计算为每获得的质量调整寿命年 (QALY).
主要成果:
- 男性的ICER为8,571美元,女性为10,635美元,远低于2020年基于GDP的WTP门为31,721.7美元.
- 在WTP值时,男性的成本效益概率为83.6%,女性为73.4%.
- 男人显示较低的ICERs由于早期的听力损失发作和更快的进展.
结论:
- 助听器是韩国50岁及以上的个体,包括轻度听力损失的个体,非常具有成本效益的干预措施.
- 这些发现强调了助听器作为公共卫生干预措施的价值.
- 决策者在为人口老龄化做计划时,应该考虑助听器的成本效益.
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