一个随机对照试验的经济评估 - - 一个在线丧亲支持计划,用于围产死亡后的父母
Emily Callander1, Yanan Hu1, Claudia Bull2
1School of Public Health, University of Technology Sydney, Sydney, Australia.
概括
生活与损失 (LWL) 在线计划可以为产前丧失支持提供成本节省. 虽然在统计学上并不显著,但LWL计划显示,与通常护理相比,医疗保健成本有所降低.
科学领域:
- 围产期心理健康问题
- 卫生经济学 卫生经济学
- 在线健康干预在线健康干预
背景情况:
- 围产期丧亲支持对于父母的福祉至关重要.
- 关于在线支持计划对经济影响的证据有限.
- 可访问和具有成本效益的支持至关重要.
研究的目的:
- 为了对生活在损失 (LWL) 在线计划进行成本效益分析.
- 将LWL计划与围产丧的常规护理 (CAU) 进行比较.
- 从医疗保健系统的角度评估经济影响.
主要方法:
- 随机对照试验比较LWL和CAU.
- 为了获得成本数据,进行卫生服务利用率调查.
- 使用AQoL-8D测量的质量调整寿命年 (QALYs).
主要成果:
- 在LWL计划中显示了初级保健成本节约的趋势 (-264.59美元在计划后,-531.52美元在3个月后续).
- 在LWL和CAU之间,健康结果 (QALY) 非常相似.
- 结果在统计学上并不显著,需要进一步调查.
结论:
- 初步证据表明,LWL计划可能带来经济效益.
- 在线围产丧支持可能具有成本效益.
- 需要进行更大规模的研究来确认成本效益.
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