关于澳大利亚儿童牙损伤预防干预措施的经济评估,使用优先设定方法
Tan Minh Nguyen1,2,3, Long Khanh-Dao Le4, Hanny Calache5
1Health Economics Group, School of Public Health & Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Level 4, 553 St Kilda Road, VIC, 3004, Melbourne, Australia. tan.nguyen@monash.edu.
概括
对低收入澳大利亚儿童的预防性牙科干预显示出不同的成本效益. 化漆程序是最有前途的,特别是当与查相结合时,在12年的时间里.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 儿科牙科 儿科牙科
背景情况:
- 牙损是一个重要的公共卫生问题,特别影响来自低社会经济背景的儿童.
- 有效的预防策略对于降低弱势群体牙损伤负担至关重要.
- 经济评估对于指导公共卫生干预措施的资源分配至关重要.
研究的目的:
- 对来自低收入家庭的澳大利亚儿童进行三种不同的牙损伤预防干预措施进行经济评估.
- 为了比较预期指导,基于学校的化漆计划和基于学校的裂密封剂的成本效益.
- 评估不同的时间视野和包括额外的医疗保健成本对干预成本效益的影响.
主要方法:
- 经济建模被用于评估干预措施,包括预期指导 (家庭访问/远程医疗),化漆计划 (由牙科/非牙科专业人员提供) 和裂密封剂.
- 进行了成本效益分析,使用支付障碍调整寿命年 (DALYs) 的愿意支付门来避免和获得质量调整寿命年 (QALYs).
- 为了评估研究结果的可靠性,进行了敏感性分析和对长达12年的时间视界进行外推建模.
主要成果:
- 在基准情景中,没有任何评估的干预措施被发现具有成本效益.
- 当包括其他医疗保健费用和通过外推模型将时间视界延长到12年时,成本效益显著提高.
- 在12年推断模型下,化涂料方案的成本效益概率最高 (91.5%为DALYs,94.7%为QALYs),其次是联合查和化涂料.
结论:
- 基于学校的化漆计划,特别是与牙查相结合时,成为长期预防低收入澳大利亚儿童牙损伤的最具成本效益的策略.
- 通过远程医疗的预期指导显示出中等的成本效益,而在评估的参数中,家庭访问和裂密封剂似乎成本效益较低.
- 关于预防儿科牙的政策决策应考虑长期经济建模和干预措施的具体交付模式.
更多相关视频
08:20Systematic Approach to Identify Novel Antimicrobial and Antibiofilm Molecules from Plants' Extracts and Fractions to Prevent Dental Caries
Published on: March 31, 2021
6.1K
07:05Operant Protocols for Assessing the Cost-benefit Analysis During Reinforced Decision Making by Rodents
Published on: September 10, 2018
5.9K
相关概念视频
01:30Preventive Healthcare Services
943
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
943
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.0K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.0K
01:15Teeth
240
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
240
01:21Tooth Anatomy
262
The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
262
01:30Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
01:26Levels of Health Promotion and Illness Prevention
11.2K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
11.2K