团队正念计划的成本效益分析与乳腺癌幸存者认知障碍的教育支持计划相比:来自随机对照试验的证据
Hongdao Meng1, Cecile A Lengacher2, Rio Tate1
1School of Aging Studies, University of South Florida College of Behavioral and Community Sciences, Tampa, Florida, USA.
Psycho-oncology
|July 23, 2025
概括
基于正念的减轻乳腺癌的压力 (MBSR ((BC)) 对幸存者来说是具有成本效益的,减少了医疗保健成本. 与六个月的标准教育支持相比,该计划提供了更好的价值.
科学领域:
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
- 心理社会瘤学
背景情况:
- 乳腺癌幸存者 (BCS) 经常经历心理困扰,并利用医疗保健资源.
- 集体正念计划为改善福祉和减少BCS中的医疗保健利用提供了潜在的途径.
研究的目的:
- 与乳腺癌幸存者教育支持计划 (BCES) 相比,评估一个小组正念计划 (MBSR(BC)) 的成本效益.
- 从社会和医疗保健系统的角度分析成本和质量调整寿命年 (QALYs).
主要方法:
- 使用单中心随机对照试验的数据进行了成本效益分析,该试验涉及181个BCS.
- 使用EuroQol EQ-5D-5L测量生活质量,并通过客户服务收据库存 (CSRI) 追踪医疗服务利用率.
- 一般化的线性模型估计了MBSR (BC) 对26周的医疗服务利用率和成本的影响.
主要成果:
- 从社会角度来看,MBSR (BC) 集团的平均总成本 (574美元) 与BCES集团 (6140美元) 相比较低.
- MBSR(BC) 显示出成本效益主导地位在BCES,负增量成本 (- 541美元) 和QALYs (0.021) 的积极收益.
- 净货币收益 (NMB) 分析表明,在各种支付意愿门中,MBSR (BC) 的正NMB的概率更高.
结论:
- 基于正念的减轻乳腺癌的压力 (MBSR ((BC)) 对于乳腺癌幸存者来说,在6个月的时间内可能具有成本效益.
- 显著的成本节约归因于减少急诊室访问,住院和诊断测试.
- 这些发现支持将MBSR ((BC) 作为一种有价值的干预措施,用于改善乳腺癌存活率的结果和管理医疗保健成本.
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