选择性手术程序的成本效益与更长的NHS等待列表:一个有针对性的审查
Laura A Trigg1, Caroline Farmer2, Madhusubramanian Muthukumar1
1Peninsula Technology Assessment Group (PenTAG), Department of Public Health and Sports Science, Medical School, University of Exeter, Exeter, UK.
Applied health economics and health policy
|May 9, 2025
概括
在NHS等候名单上优先选择性手术非常具有成本效益. 这些程序提供了显著的健康收益,并优化有限的医疗保健资源,以提高效率和患者的结果.
科学领域:
- 卫生经济学 卫生经济学
- 外科手术的结果
- 国家卫生服务 (NHS) 政策政策
背景情况:
- 在NHS中,选择性手术的长期等待列表对医疗保健资源分配构成了重大挑战.
- 了解这些程序的成本效益对于告知国家支出优先事项至关重要.
研究的目的:
- 审查英格兰NHS中长时间等候列表的选择性手术的成本效益的证据.
- 为国家支出优先事项和关于医疗保健决策门的辩论提供信息.
主要方法:
- 针对9个特定的选修程序发表的成本效益分析的有针对性的文献综述.
- 程序包括:穿皮冠状动脉干预,冠状动脉旁路移植手术,子宫切除术,胆囊切除术,膝盖置换,沟修复,关节置换,前列腺切除术和白内障手术.
- 对比被调整为货币和价格年 (2024年).
主要成果:
- 确定了21项评估,将手术与没有手术,医疗管理或早期与推迟手术进行比较.
- 几乎所有审查的程序都被发现具有成本效益,增量成本效益比率 (ICERs) 低于每获得的质量调整寿命年20,000英.
- 胆囊切除术,前列腺切除术,关节和膝关节置换手术显示特别有利的ICER,从5,000英到10,000英不等.
结论:
- 优先考虑这些选择性外科手术程序是对NHS资源的高成本有效使用,特别是在COVID-19后的时代.
- 投资于更具成本效益的干预措施可以提高NHS的效率,并带来净健康收益.
- 调查结果为决策者提供了宝贵的见解,帮助他们优化有限的医疗保健资源,改善手术等候名单管理.
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