离散事件模拟模型用于COPD管理的应用:系统性审查
Liu Shuai1, Chunni Zhou1, Jinyi Zhou2
1School of Public Health, Southeast University, Nanjing, People's Republic of China.
概括
离散事件模拟 (DES) 模型越来越多地用于管理慢性阻塞性肺病 (COPD). 本综述综合了COPD中DES应用的证据,确定了研究缺口和优化干预措施的未来方向.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
- 计算机建模 计算建模
背景情况:
- 慢性阻塞性肺病 (COPD) 的管理提出了复杂的挑战.
- 离散事件模拟 (DES) 提供了一个强大的工具来建模和评估COPD干预措施.
- 需要对当前在COPD中的DES应用进行全面评估.
研究的目的:
- 在慢性阻塞性肺病 (COPD) 的管理中系统地审查和综合离散事件模拟 (DES) 模型的应用.
- 评估现有研究的质量,确定知识差距,并为未来在COPD护理中的DES应用提供建议.
主要方法:
- 在六个数据库 (PubMed,科学网,Embase,Cochrane,Econlit,CNKI) 进行系统的文献搜索,截至2024年8月22日.
- 使用CHEERS 2022检查清单或ISPOR实践指南进行质量评估.
- 纳入研究的分类基于建模重点:药理疗法,病例检测和医疗保健服务干预.
主要成果:
- 九项研究符合纳入标准,所有研究都侧重于高收入国家中COPD管理中DES的健康经济评估.
- 研究涵盖了药理治疗 (n=3),病例检测策略 (n=3) 和医疗服务干预措施 (n=3) 的成本效益.
- 所有研究都报告了模型验证,但只有两个包括子组分析.
结论:
- 离散事件模拟 (DES) 是COPD管理中的健康经济评估的一个有价值的工具.
- 建议进行进一步的研究,以解决发现的差距,特别是在子组分析和各种医疗保健环境中.
- 结果可以为未来的研究重点和资源分配提供信息,以加强COPD干预措施.
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