护士带领的电话计划,用于不坚持治疗的2型糖尿病患者和并发性抑郁症:成本后果和预算影响分析
Manuel Gómez-Barrera1,2, María Luisa Lozano-Del Hoyo3,4, Juan Francisco Roy1,5
1Faculty of Health Sciences, San Jorge University, Villanueva de Gállego 50003, Zaragoza, Spain.
Journal of nursing management
|April 14, 2025
概括
一个由护士领导的电话计划 (TELE-DD) 改善了抑郁症患者的2型糖尿病管理. 这种干预措施被证明是具有成本效益的,证明了医疗保健资源的高效利用,并为资助者在第一年节省了大量资金.
科学领域:
- 卫生经济学 卫生经济学
- 护理实践 护理实践
- 慢性疾病管理 慢性疾病管理
背景情况:
- 2型糖尿病和并发性抑郁症带来了重大管理挑战,特别是治疗坚持.
- 在这个人群中不遵守药理治疗会影响健康结果和医疗保健成本.
- 初级医疗保健机构需要有效的干预措施来管理复杂的慢性疾病.
研究的目的:
- 评估护士主导的电话干预 (TELE-DD计划) 对2型糖尿病患者的成本效益和预算影响,这些患者患有并发性抑郁症,不坚持治疗.
- 评估TELE-DD计划在改善血糖控制和资源利用方面的效率.
主要方法:
- 从随机临床试验中获得的成本-后果和预算影响数据的二次分析.
- 计算每位受控患者的平均成本 (糖化血红蛋白<7%) 和增量成本效益比.
- 评估实施TELE-DD计划对一年的预算影响.
主要成果:
- 与对照组相比,TELE-DD计划在6,12和18个月后产生了更多的受控患者.
- 每位受控患者的平均成本在12个月和18个月的TELE-DD组中较低.
- 实施TELE-DD计划预计,资助者将在第一年减少721,940.68欧元的支出.
结论:
- 护士主导的TELE-DD计划是管理2型糖尿病患者并发性抑郁症医疗资源的有效策略.
- 护理在有效的慢性疾病管理和优化医疗保健支出方面发挥着至关重要的作用.
- 这些发现支持采用远程医疗干预措施,以改善患者的治疗结果和经济效率.
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