在伊朗使用马尔科夫模型对高血压查的经济评估
Rajabali Daroudi1, Ali Akbari Sari1, Mahmoud Zamandi1
1Department of Health Management, policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
PloS one
|July 22, 2025
概括
在预防心血管疾病方面,定期进行血压查比不进行查更具成本效益. 从30岁开始,每两年进行一次查提供了最好的价值,考虑到经济门.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 预防心血管疾病 预防心血管疾病
背景情况:
- 高血压是全球领先的非传染性疾病之一,显著增加了冠心病和中风等心血管疾病 (CVD) 的风险.
- 有效的查策略对于早期发现和管理高血压至关重要,以减轻严重的健康后果.
研究的目的:
- 在2020年对伊朗的各种高血压查策略进行全面的经济评估.
- 确定在伊朗医疗保健背景下对高血压查的最具成本效益的方法.
主要方法:
- 利用马尔科夫模型评估九种不同的血压查策略 (频率和开始年龄不同).
- 估计的质量调整寿命年 (QALYs) 和从社会角度看的一生周期的成本.
- 输入数据来源于文献,专家意见和现有数据集,用于模型校准.
主要成果:
- 所有评估的查策略都显示出比不进行查更高的成本效益.
- 五种策略,包括从30岁开始的三年一次查,40岁,50岁,以及从30岁开始的两年一次/一年一次查,被发现是不占主导地位的.
- 从30岁开始的两年或三年一次查在人均GDP的接近1倍的门上出现了最具成本效益的方法.
结论:
- 与被动监测相比,所有高血压查策略在经济上都是有利的.
- 选策略包括每两年进行一次检查,从30岁开始,被认为是伊朗最具成本效益的选择,特别是在考虑人均GDP的一倍的成本效益门时.
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