韩国甲状腺功能障碍管理的数字软件支持平台:基于马尔科夫模拟模型的成本效益分析.
Jung Hyun Kim1, Jaeyong Shin2,3, Man S Kim4
1Division of Tourism and Wellness, Hankuk University of Foreign Studies, 81 Oedae-ro, Mohyeon-eup, Cheoin-gu, Yongin, 17035, Republic of Korea.
JMIR mHealth and uHealth
|July 22, 2025
概括
甲状腺功能障碍的数字监测具有成本效益,可以提高缓解率并减少复发. 这种可穿戴技术为标准护理提供了有价值的补充,提高了患者的治疗结果,并可能降低长期医疗保健成本.
科学领域:
- 内分泌学 在内分泌学.
- 卫生经济学 卫生经济学
- 数字健康数字健康
背景情况:
- 可穿戴技术通过持续的心率监测,为甲状腺功能障碍管理提供了新的方法.
- 虽然数字健康正在扩大,但其对甲状腺功能障碍的成本效益需要彻底评估.
研究的目的:
- 与韩国标准护理相比,评估甲状腺功能障碍的数字监测解决方案的成本效益.
- 评估甲状腺功能的可穿戴或基于移动的数字监控系统.
主要方法:
- 一个马尔科夫微模拟模型模拟了10,000名甲状腺功能障碍患者的成本和有效性.
- 结果以质量调整的寿命年 (QALYs) 来衡量,从医疗保健系统的角度进行分析.
- 使用增量成本效益比率 (ICER) 和净货币效益 (NMB) 确定了成本效益.
主要成果:
- 数字监测导致每名患者额外增加0.32个QALY,增量成本为3143美元,ICER为9804.30美元/QALY,低于支付意愿值.
- 通过数字监测观察到改善的长期缓解率 (22.68%与17.48%) 和减少的复发率 (17.87%与26.37%).
- 在64.4%的模拟中,概率敏感性分析表明数字干预是首选的成本有效策略.
结论:
- 数字监测为甲状腺功能障碍管理提供了一个具有成本效益的策略,可以改善缓解并减少复发.
- 数字解决方案可以补充传统的护理,为补偿和定价提供经济基础.
- 进一步的研究应纳入社会成本,包括生产力,以进行全面的经济效益评估.
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