一种引导方法来估计行为干预实施成本:概念验证
Julia Mo1, Daniel Maeng2, Mark C Hornbrook3
1Department of Medicine, University of Rochester Medical Center, Rochester, New York, USA.
Health services research
|March 20, 2025
概括
一种新的启动方法增强了基于时间驱动的基于活动的成本计算 (TDABC),以获得更现实的远程医疗干预成本估计. 这种方法捕捉了数据的差异,提高了临床试验成本分析的准确性.
科学领域:
- 卫生经济学 卫生经济学
- 临床试验方法论 临床试验方法论
- 成本分析 成本分析
背景情况:
- 准确的成本估计对于评估医疗保健干预措施至关重要.
- 传统的基于时间驱动的基于活动的成本计算 (TDABC) 可能无法完全捕捉现实数据中的变化.
- 远程医疗干预提供了潜在的好处,但需要严格的成本效益分析.
研究的目的:
- 开发和评估一个启动方法来增强TDABC以获得更现实的成本估计.
- 为了比较从新型启动方法和传统的TDABC中得出的成本估计.
主要方法:
- 使用了来自2016-2018年多站点临床试验的二次数据,该试验是针对癌症幸存者进行的瘤自我管理远程医疗干预.
- 患者参与率是使用引导计算来估计干预成本的.
- 启动过程中产生的成本与通过传统TDABC估计的成本进行了比较.
主要成果:
- 启动方法估计远程医疗干预成本为210,052.62美元 (平均每位参与者1981.63美元).
- 传统的TDABC估计产生了186,363美元 (每位参与者1758美元).
- 调整后的启动估计为176,362.56美元 (每位参与者1663.80美元),显示了类似的整体结果.
结论:
- 在临床试验成本分析中,将启动绑定集成到TDABC是可行的.
- 启动方法可能会捕捉临床试验数据中固有的差异.
- 这种增强的TDABC方法为远程医疗干预提供了更现实的成本估计.
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