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Improving IV Insulin Administration in a Community Hospital
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在马来西亚,一项数字健康支持和基于社区药房的糖尿病前期管理计划 (PRIME计划) 的试验并进行了成本效益分析
Kah Woon Teoh1, Yeji Baek2,3, Zanfina Ademi2,3
1School of Pharmacy, Monash University Malaysia, Subang Jaya, Selangor, Malaysia.
Diabetes, obesity & metabolism
|March 24, 2025
概括
马来西亚的一项数字健康和社区药房生活方式计划,用于马来西亚的糖尿病前期管理是具有成本效益的. 与通常的护理相比,PRIME干预显示了每增加的质量调整寿命年有利的增量成本效益比率.
科学领域:
- 卫生经济学 卫生经济学
- 数字健康干预措施 数字健康干预措施
- 预防医学 预防医学
背景情况:
- 糖尿病前期在全球和马来西亚都构成了重大公共卫生挑战.
- 生活方式干预对于防止发展为2型糖尿病至关重要.
- 社区药房为卫生干预提供了可访问的平台.
研究的目的:
- 评估马来西亚PRIME (医疗和日常生活创新计划) 对糖尿病前期的干预措施的成本效益.
- 将数字健康支持的社区药房生活方式干预与常规护理进行比较.
- 在6个月的时间内,从医疗保健和社会角度评估经济价值.
主要方法:
- 基于试验的成本效益分析是在6个月内与91名参与者进行的.
- 干预组接受了药剂师咨询,基于应用程序的教育和同行支持.
- 经质量调整的寿命年 (QALY) 是主要结果,并计算了增量成本效益比率 (ICER).
主要成果:
- 与常规护理相比,PRIME干预导致0.005 QALY的净收益.
- 增加成本为6.10美元 (医疗保健) 和10.69美元 (社会).
- ICER为1354美元 (医疗保健) 和2371美元 (社会),成本效益概率分别为69.2%和67.7%,低于支付意愿值.
结论:
- 数字健康支持的,基于社区药房的生活方式干预 (PRIME) 可能是马来西亚糖尿病前期管理的成本效益.
- 从医疗保健和社会角度来看,这项干预表明了金钱的价值.
- 研究结果支持将此类计划纳入糖尿病前期患者的常规护理.
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