密集护理中的健康经济评估:更新的系统审查
Christina-Le Nguyen1,2,3, Wai Chung Tse1,2,3,4, Thomas M Carney1,2,3
1Monash University, School of Public Health and Preventive Medicine, Melbourne, VIC, Australia.
Critical care explorations
|July 17, 2025
概括
在重症监护中的健康经济评估很少,而且非常多样化. 未来的研究应侧重于低收入和中等收入国家和基于试验的研究,以改善医疗保健决策.
科学领域:
- 卫生经济学 卫生经济学
- 关键护理医学 关键护理医学
背景情况:
- 密集护理非常重要,但资源密集.
- 医疗经济评估 (HE) 与成本效益分析 (CEA) 一样,为医疗保健决策提供了信息.
- 了解重症监护的经济格局对于资源分配至关重要.
研究的目的:
- 系统地识别和总结现有的重症监护中的健康经济评估.
- 确定这个领域的空白和未来研究领域.
主要方法:
- 搜索了六个学术数据库 (Ovid, EBSCO, Web of Science) 关于1993-2023年出版的成人ICU干预的高等教育研究.
- 包括CEA,成本效益,成本效益和成本最小化分析.
- 排除了儿科,动物和断奶中心的研究.
主要成果:
- 确定了219项研究,近年来显著增加.
- 大多数研究 (97%) 显示报告质量良好至卓越.
- 增量成本效益比率 (ICERs) 显示了广泛的变化,从主导到每人挽救的75万美元以上.
结论:
- 与其他医疗领域相比,重症监护的成本效益研究相对较少.
- 在重症监护室内的经济评估中存在显著的异质性.
- 建议在低收入和中等收入国家 (LMICs) 进行未来研究,并增加基于试验的研究.
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