多学科过渡期护理干预措施的成本效益:系统性审查和元分析
Romain Collet1, Charlotte Groenewoud2, Raymond Ostelo3
1Amsterdam UMC location Vrije Universiteit Amsterdam, Department of Rehabilitation Medicine, de Boelelaan 1117, Amsterdam, the Netherlands; Amsterdam Movement Sciences, Musculoskeletal Health, Amsterdam, the Netherlands; Amsterdam UMC location Vrije Universiteit Amsterdam, Department of Epidemiology and Data Science, de Boelelaan 1117, Amsterdam, the Netherlands; Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, the Netherlands.
跨学科的过渡期护理干预措施显示了协调出院后患者护理的潜在成本效益. 需要进一步的研究来证实在不同的人群和医疗保健系统中的有效性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 老年医学 老年医学
背景情况:
- 过渡性护理干预措施旨在改善医院出院后患者的护理协调.
- 这些干预措施解决了患者,特别是老年人的复杂的身体,营养和心理社会需求.
研究的目的:
- 与常规护理相比,系统地审查和综合多学科过渡期护理干预措施的成本效益的证据.
- 批判性地评估有关这些干预措施经济影响的证据质量.
主要方法:
- 随机对照试验的系统审查和元分析.
- 在Medline,Embase,CINAHL和CENTRAL进行的搜索截至2024年7月.
- 生活质量或质量调整后寿命年 (QALYs) 和成本效益数据是主要结果.
主要成果:
- 分析了13项涉及4,114名患者的试验.
- 低确定性证据表明,过渡期护理可能会降低成本,但从12个月的医疗保健角度来看,QALYs没有差异.
- 成本效益概率因时间框架和支付意愿门而异,在较低的门时,概率更高.
结论:
- 多学科过渡期护理干预措施显示出具有成本效益的前景.
- 证据的确定性较低,需要进一步研究最佳干预类型,患者群体和国家收入水平.
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