基于社区的综合护理模式对糖尿病患者和抑郁症状患者的成本效益
Yanshang Wang1,2, Dan Guo3, Yiqi Xia1,2
1School of Public Health, Peking University, Beijing, China.
Nature communications
|March 27, 2025
概括
糖尿病和抑郁症患者综合护理模式 (CIC-PDD) 是对2型糖尿病和抑郁症的管理具有成本效益的. 这种干预在初级保健机构中具有显著价值.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 2型糖尿病 (T2DM) 和抑郁症经常同时存在,这代表着一个重要的多病症挑战.
- 之前的研究在一个集群随机试验中确定了糖尿病和抑郁症患者综合护理模型 (CIC-PDD) 的有效性.
- 经济评估对于理解综合护理干预措施的价值至关重要.
研究的目的:
- 评估CIC-PDD干预对T2DM和抑郁症状的成年人的成本效益.
- 从多个角度评估经济影响:卫生系统,多层,社会.
- 为了确定每获得的质量调整生命年 (QALY) 和无抑郁日 (DFD) 的成本.
主要方法:
- 一年内试验经济评估与集群随机对照试验一起进行.
- 测量的健康结果包括QALY和DFD.
- 计算了增量成本效益比率 (ICER) 和成本效益概率.
主要成果:
- 通过CIC-PDD的干预,每个获得的QALY的成本从不同角度来看,从7,409.46美元到7,922.82美元不等.
- 每个DFD获得的成本从2.63美元到2.82美元不等.
- 对于QALYs,成本效益概率达到66.41%-94.45%,对于DFDs>95%的概率,需要支付9.00-$10.50的支付意愿.
结论:
- CIC-PDD模型是用于初级保健中管理2型糖尿病和抑郁症的成本效益高的干预措施.
- 干预表明QALY和DFD的价值.
- 需要进一步的研究来评估CIC-PDD模型的长期可持续性和可扩展性.
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