专门创伤护理的成本效益:一个系统的审查
Soualio Gnanou1,2, Jason Robert Guertin1,2,3, Pier-Alexandre Tardif1
1Population Health and Optimal Health Practices Research Unit, Centre de Recherche du CHU de Québec - Université Laval, Québec City, Canada.
Journal of health services research & policy
|June 4, 2025
概括
专门的创伤中心更昂贵但更有效,每调整质量的人寿年 (QALY) 潜在的成本效益更高. 然而,有限的证据和异质性阻碍了关于创伤护理成本效益的最终结论.
科学领域:
- 卫生经济学 卫生经济学
- 创伤外科 手术 创伤外科
- 系统审查是系统的审查.
背景情况:
- 专门创伤护理的有效性已经确立.
- 缺乏关于专门创伤护理成本和成本效益的证据.
研究的目的:
- 系统地审查专业创伤护理的成本或成本效益.
- 将专业创伤中心与非专业中心进行比较.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在多个数据库 (PubMed,EMBASE等) 进行了搜索. 和灰色文学.
- 使用CHEERS 2022检查清单评估报告质量.
主要成果:
- 确定了10项研究 (4项是成本效益,3项是成本后果,3项是成本分析).
- 成本效益研究表明,专门中心成本更高,但效率更高.
- 增量成本效益比率在每次QALY,每次挽救生命和每次增加生命年数上有很大差异.
结论:
- 专门的创伤护理可能具有成本效益 (>每QALY值5万美元).
- 有限的研究,异质性和缺乏系统范围的成本数据阻碍了坚定的结论.
- 证据缺口存在于开发具有成本效益的创伤系统.
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