危险人群中的糖尿病视网膜病症查:分布性成本效益分析协议
Aleksandra Stanimirovic1,2,3,4, Troy Francis1,2,4,5, Sonia Meerai6
1Toronto General Hospital Research Institute, Ted Rogers Centre for Heart Research at Peter Munk Cardiac Centre, University Health Network, Toronto, ON, Canada.
JMIR research protocols
|April 30, 2025
概括
这项研究引入了一种新的方法来评估糖尿病视网膜病变 (DR) 查计划的经济公平性. 通过整合交叉性理论,它旨在确保所有人均公平地获得远程视网膜服务.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 眼科医生 眼科 眼科
背景情况:
- 糖尿病视网膜病变 (DR) 是导致失明的主要原因,不成比例地影响低收入人群.
- 远程视网膜查具有成本效益,但显示出与收入相关的获取差异.
- 交叉性理论强调了社会特征如何为健康公平创造障碍.
研究的目的:
- 解决DR查的经济评估缺乏理论基础的问题.
- 为了进行一个分布式成本效益分析 (DCEA) 的远程视网膜程序.
- 将交叉性理论纳入对健康干预措施的经济评估中.
主要方法:
- 一种演性的,顺序的多方法方法方法,结合了修改后的Delphi研究和DCEA.
- 利益相关者组成的Delphi小组 (N=35-50) 将确定社会结构和股权权衡.
- 选择的社会结构将被整合到DCEA的经过验证的远程视网膜成本效益模型中.
主要成果:
- 德尔菲研究将确定影响护理准入不平等的关键社会因素.
- 该DCEA将量化tele-retina.net对健康的净益处和健康公平影响.
- 预计该模型将在2026年初完成.
结论:
- 这项研究提供了对远程视网膜计划的全面评估,考虑了健康公平.
- 结果将为决策者提供有关在DR查中减轻健康不平等驱动因素的信息.
- 这项研究开创了将社会结构纳入DCEA的加拿大医疗技术评估.
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