对全系统实施支持性护理的经济评估
Lisa L Brady1, Annie Hutton2, Jeremy R Chapman3
1Strategic Reform and Planning Branch, New South Wales Ministry of Health, St Leonards, New South Wales, Australia.
Kidney international reports
|August 15, 2025
概括
末期病 (ESKD) 患者的支持性护理 (KSC) 提供了显著的经济价值,增加了生存率并产生了大量的净收益. 这种护理模式在公共卫生系统内提供了较高的投资回报.
科学领域:
- 卫生经济学 卫生经济学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生政策 公共卫生政策
背景情况:
- 末期病 (ESKD) 带来了重大的经济和临床挑战.
- 支持性护理 (KSC) 旨在改善患者的治疗结果,并管理ESKD的成本.
- 在公共卫生系统中,KSC的经济价值需要进行严格的评估.
研究的目的:
- 评估脏支持护理 (KSC) 对末期脏疾病 (ESKD) 患者的经济价值.
- 评估KSC对澳大利亚新南威尔士州生存和医疗保健成本的影响.
- 预测 KSC 实施的未来经济效益.
主要方法:
- 使用来自链接的健康数据集 (入院,未入院,紧急情况,死亡登记) 的非识别患者级数据.
- 采用成本效益分析模型,将2015年7月至2019年6月的数据与KSC前的实施时期进行比较.
- 根据各种情景,预计到2030年6月的经济价值.
主要成果:
- 在2015-2019年期间,KSC参与率从5%增加到16%,使得生存率提高了3-21周.
- 预计净经济效益为1.09亿澳元 (212%的投资回报率),假设治疗模式稳定.
- 包括生存改善,净经济效益上升至2.75亿澳元 (535%的ROI).
结论:
- 全州的KSC服务显示出显著的生存效益和净经济价值.
- 预计10年净经济价值为2.75亿澳元,有增长潜力.
- 在合适的ESKD患者中增加KSC的参与将提高经济回报.
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