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活跃白天患者治疗的成本效益分析,一个跨学科的疼痛自我管理计划

Anonnya Rizwana Chowdhury¹, Deborah Schofield², Rupendra Shrestha²

¹Pain Management Research Institute, Sydney Medical School, University of Sydney, Sydney, Australia.

|September 15, 2025

概括

活动日期患者治疗 (ADAPT) 计划改善了慢性疼痛患者的生活质量,并降低了医疗保健成本. 这项成本效益分析发现,ADAPT对于禁用慢性疼痛管理来说是一个有价值的干预措施.

科学领域:

疼痛管理疼痛管理
卫生经济学卫生经济学
生活质量研究研究生命质量研究

背景情况:

慢性疼痛显著影响患者的生活质量,并导致大量的医疗保健费用.
活动日期患者治疗 (ADAPT) 计划提供跨学科,多模式的疼痛管理.
评估此类计划的成本效益对于医疗保健资源分配至关重要.

研究的目的:

分析ADAPT程序的成本效益,以使慢性疼痛失效.
为了比较患者的结果,包括劳动力参与和生活质量,在ADAPT之前和之后.
评估医疗保健利用成本的变化后项目参与.

主要方法:

在2014-2017年期间,对61名完成ADAPT的患者进行了回顾性队列研究.
主要结果包括劳动力参与率 (每周收入) 和生活质量 (AQoL-8D).
增量成本效益比率 (ICERs) 是使用医疗效用得分和医疗保健成本来计算的.

主要成果:

患者的平均每周收入从基线的539.54美元增加到ADAPT后的628.99美元.
估计的ICER为每增加的质量调整后生命年20.228.76美元.
患者报告生活质量更好,医疗保健利用成本降低>12个月后适应.

结论:

ADAPT通过改善慢性疼痛患者的生活质量和减少医疗保健利用来证明成本效益.
研究结果表明,ADAPT是治疗残疾慢性疼痛的有益干预措施.
建议进行进一步的前性研究,以验证这些成本效益调查结果.

关键词:

慢性疼痛是一种慢性疼痛.具有成本效益的成本效益.这是一个跨学科的跨学科.劳动力参与是劳动力参与.疼痛自我管理疼痛自我管理生活质量生活的质量.

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