康复患者的My Therapy自我指导治疗计划的成本效益:一个阶梯集群随机试验
Natasha K Brusco1, Sara L Whittaker1, Christina L Ekegren1
1Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, Monash University, Frankston, VIC, Australia.
Clinical rehabilitation
|June 13, 2025
概括
"我的疗法"自我管理计划可以在康复环境中实施,而不会增加成本. 虽然它没有显著改善患者的功能或生活质量,但它可能会使每分钟治疗的成本略有降低.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 康复医学 康复医学 康复医学
- 卫生经济学 卫生经济学
背景情况:
- 我的疗法自我管理计划旨在加强患者参与康复.
- 评估自我管理计划的经济影响和成本效益对于医疗保健系统至关重要.
研究的目的:
- 从医疗服务的角度来看,评估My Therapy计划是否会增加康复入院费用.
- 为了对"我的治疗"计划进行成本效益分析.
主要方法:
- 经济评估,包括澳大利亚康复病房的成本效益分析.
- 包括康复入院费用,30天再入院费用,功能独立 (FIMTM) 和质量调整生命年 (EQ-5D-5L).
- 对2363名康复住院患者的增量成本效益比率 (ICER) 的分析.
主要成果:
- 我的疗法实施成本为每名患者/天5美元 (SD$2),不包括机会成本.
- 在功能独立 (OR:1.08) 或经质量调整的寿命年 (平均差异-0.01) 中没有发现显著差异.
- 估计的成本差异无意义 (OR:1.06),ICER也无意义.
结论:
- "我的疗法"计划在没有增加康复入院或30天再入院费用的情况下实施.
- 干预组和对照组之间没有检测到功能或生活质量的显著临床差异.
- 在"我的治疗"计划中,观察到每天参与治疗的每分钟成本的潜在小幅降低.
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