主要技术增强高血压护理规模化计划:基于试验的经济评估,使用新加坡现实数据检查有效性和成本效益
Yi Wang1, Shilpa Tyagi1,2, David Wei Liang Ng3
1Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.
Journal of medical Internet research
|April 15, 2025
概括
初级技术增强型高血压护理 (PTEC-HT) 计划改善了血压控制,并降低了与通常护理相比的成本. 这种远程医疗干预证明了实际高血压管理中的有效性和成本效益.
科学领域:
- 卫生技术评估 卫生技术评估
- 心血管疾病管理管理
- 数字健康干预措施 数字健康干预措施
背景情况:
- 远程医疗对于高血压管理是有效的,但其在现实环境中的成本效益需要进一步研究.
- 主要高血压技术增强护理 (PTEC-HT) 计划集成了远程监测,电话咨询和高血压的数字支持.
- 评估PTEC-HT计划的有效性和成本效益对于其在全国范围内扩展至关重要.
研究的目的:
- 评估PTEC-HT缩放程序在改善血压 (BP) 控制方面的有效性.
- 与常规护理相比,评估PTEC-HT计划的成本效益.
- 从医疗保健系统的角度分析该计划在6个月和12个月的时间范围内产生的影响.
主要方法:
- 一个基于试验的经济评估,比较PTEC-HT与通常的护理,使用患者级数据.
- 关于血压读数,医疗保健利用率和成本的数据是从计划记录和国家索赔中提取的.
- 用回归分析和准确匹配来控制群体之间的基线差异.
主要成果:
- 与通常护理相比,PTEC-HT显著增加了控制血压的概率,在6个月后增加了13.5%,在12个月后增加了16%.
- 对于PTEC-HT,直接医疗费用较低,每位患者在6个月后节省了57.7美元,在12个月后节省了170.9美元.
- 包括计划费用,PTEC-HT在6个月左右达到平衡点,并在12个月后为每位患者节省了S$52.6.
结论:
- PTEC-HT缩放程序是一种更有效和更具成本效益的干预措施,用于在现实世界中管理高血压.
- 这些发现支持在全国范围内实施PTEC-HT等远程医疗干预措施,以改善高血压的结果.
- 在12个月的时间里,PTEC-HT在血压控制和医疗保健成本节省方面取得了显著的改善.
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