与标准护理单独相比,为脚扭伤的标准护理添加远程康复的成本效益分析
Juan Figueroa-García1, Víctor Marcial Granados-García2, Juan Carlos H Hernández-Rivera3
1Unidad de Medicina Familiar N. 26, Órgano de Operación Administrativa Desconcentrada de la Ciudad de México Sur, Instituto Mexicano del Seguro Social, Ciudad de México, México.
Telemedicine reports
|July 9, 2025
概括
远程康复是一种节省成本的脚扭伤 (AS) 治疗方法,可以改善功能并降低整体成本. 这种方法在与直接费用一起考虑劳动失能成本时尤其有效.
科学领域:
- 肌肉骨康复 肌肉骨康复
- 卫生经济学 卫生经济学
- 数字健康数字健康
背景情况:
- 脚扭伤 (AS) 是一种普遍存在的肌肉骨损伤.
- 电话康复对肌肉骨疾病有希望,但对AS的成本效益仍未得到充分研究.
研究的目的:
- 为了评估异步远程康复的成本效益,作为对脚扭伤患者标准护理的辅助.
- 评估远程康复对功能恢复和相关医疗保健成本的影响.
主要方法:
- 一项为期4周的随机对照试验,比较标准护理与标准护理加非同步远程康复.
- 通过足部和脚能力测量 (FAAM) 测量的有效性 - ADL和体育子尺度.
- 经济评估包括直接医疗费用和劳动失能费用,更新至2024美元,并进行敏感性分析.
主要成果:
- 与对照组相比,远程康复组在FAAM-ADL (78分) 和FAAM-Sports (80.2分) 中表现出更好的功能增长 (分别为69.1和61.6).
- 增量成本效益比率 (ICER) 是负的,表明成本节约:每增加一点US$ -14.4 (FAAM-ADL) 和US$ -8.5 (FAAM-Sports),包括失能成本.
- 除了劳动失能费用外,ICER是-0.7美元 (FAAM-ADL) 和-0.4美元 (FAAM-Sports).
结论:
- 异步远程康复,当添加到标准护理的脚扭伤,是一个节省成本的战略.
- 这种干预以较低的总体成本实现了更高的功能效率,特别是当考虑到失业成本时.
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