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抓住沉默的视力丧失:印度基于人口的玻璃眼查的成本效益分析
Neha Purohit1, Sandeep Buttan2, Parul Chawla Gupta3
1Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
BMJ open
|April 3, 2025
概括
在印度,以人口为基础的青光眼查在当前条件下不具有成本效益. 然而,加强公共资金和护理连续性可以使查干预措施具有成本效益,并可能节省成本.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 玻璃眼是印度不可逆转的失明的主要原因.
- 早期检测和治疗可以预防或稳定青光眼的进展.
- 印度正在探索在初级卫生中心的基于人口的查模型.
研究的目的:
- 评估印度各种基于人群的玻璃眼查模型的成本效益.
- 评估查计划对全眼的整体护理成本的影响.
主要方法:
- 使用决策树和马尔科夫模型进行成本效益分析.
- 模拟的终身成本和假设群体的健康结果.
- 对比了12种查策略 (年龄组,风险概况,方法,频率) 与通常的护理.
主要成果:
- 与常规护理相比,查策略在质量调整的寿命年 (QALYs) 中显示出最小的收益.
- 大多数查策略都没有成本效益.
- 对于40至75岁的人来说,每年面对面的查可能是具有成本效益的,如果加强公共资金和药物可用性.
结论:
- 通过公共供应或战略采购来改善护理连续性是关键.
- 眼查干预措施可以变得具有成本效益,并可能节省成本,加强医疗保健系统.
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