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为患有常见精神疾病的患者提供以个人为中心的电子健康干预:随机对照试验中的成本效益分析

Tayue T Kebede¹, Matilda Cederberg², Sara Alsén³

¹Faculty of Health Science, Kristianstad University, Kristianstad, Sweden.

Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research

|April 12, 2025

概括

这项研究发现,以人为中心的电子健康干预,作为常规护理的补充,对于常见的精神障碍 (CMD) 是具有成本效益的. 这种方法改善了病假患者的结果.

科学领域:

心理健康心理健康
卫生经济学卫生经济学
数字健康数字健康

背景情况:

常见的精神障碍 (CMD) 构成了重大的公共卫生挑战.
在PROMISE项目中,研究了针对CMD的以人为中心的电子健康干预措施.
评估成本效益对于实施新的医疗保健策略至关重要.

研究的目的:

评估以人为中心的电子健康干预与CMD患者的通常护理相比的成本效益.
评估心理健康治疗的电子健康附加服务的经济影响.
确定综合数字健康解决方案在管理常见精神障碍方面的价值.

主要方法:

进行了一项开放的随机对照试验 (RCT),共有206名参与者 (100项干预,106项对照).
干预组接受以人为中心的电子健康服务 (通过电话和网络),以及通常的护理.
从国家/区域数据库收集成本数据,从社会角度分析成本效益,使用质量调整后寿命年 (QALYs).

主要成果:

附加电子健康干预的平均附加成本为每名患者-20296瑞典克朗.
观察到QALY的小平均增量增长为0.0054.
增量成本效益比率 (ICER) 为-3776 895 SEK/QALY,成本效益率的概率为76.3%.

结论:

以人为中心的电子健康干预措施,当添加到通常的护理时,证明了管理常见精神障碍的成本效益.
这种方法特别有利于患有CMD的病假患者,改善他们的结果.
这些发现支持将数字健康工具整合到精神卫生保健中,以提高患者管理和经济价值.

关键词:

常见的精神障碍常见的精神障碍电子健康电子健康经济评估经济评价以人为中心的护理病假是因为病假.

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