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在初级保健中,对于有认知问题的人来说,5-Cog范式的成本效益
Harrshavasan Congivaram1, James Walker1, Emmeline Ayers2
1Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Public health
|September 19, 2025
概括
5Cog模式有效地选认知障碍,并增加痴呆症护理行动. 这项研究证实了其对初级保健的成本效益,支持其作为普遍痴呆症查工具的使用.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 认知科学 认知科学
背景情况:
- 认知障碍和痴呆症带来了重大的公共卫生挑战.
- 早期检测和管理对于改善患者的治疗结果至关重要.
- 5Cog模式在识别认知障碍和改善护理方面已经证明了有效性.
研究的目的:
- 评估5Cog模式对初级保健中痴呆症查和管理的成本效益.
- 将5-Cog干预的成本和结果与对照组进行比较.
主要方法:
- 一项随机临床试验 (RCT) 在2019年5月至2022年9月的初级保健机构中进行.
- 分析了1106名参与者,分为对照组或5-Cog干预组.
- 成本效益分析利用电子医疗记录中的财务记录,计算增量成本效益比率 (ICER).
主要成果:
- 在5-Cog组的参与者中,MCI/痴呆症诊断 (aOR=19.53),脑成像 (aOR=29.37),相关实验室订单 (aOR=43.85) 和转诊 (aOR=4.23) 的比率显著更高.
- 对于5-Cog患者来说,总的综合支出较高 (aOR=2.24).
- 总合计,遭遇相关和程序相关成本的ICER分别为306美元,212美元和94美元.
结论:
- 5Cog模式是初级保健机构认知障碍查的成本效益高的策略.
- 这些发现,结合以前的疗效数据,支持采用5-Cog作为通用痴呆症查工具.
- 该干预措施有助于及时采取适当的痴呆症护理行动.
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