对患有CKD儿童患者导航程序的试验内经济评估
Winnie Chen1, Germaine Wong2,3,4, Kirsten Howard1
1Leeder Centre for Health Policy, Economics and Data, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Kidney international reports
|September 22, 2025
概括
澳大利亚儿科慢性病 (CKD) 患者导航的总体成本较高,但质量调整后寿命年 (QALYs) 没有显著差异. 需要进一步的研究来确定长期的成本效益.
科学领域:
- 卫生经济学 卫生经济学
- 儿科病学 儿科病学
- 患者导航 患者导航
背景情况:
- 慢性病 (CKD) 对儿童及其照顾者产生重大影响.
- 患者导航计划旨在改善儿科CKD患者的护理协调和治疗结果.
- 经济评估对于理解医疗保健干预措施的价值至关重要.
研究的目的:
- 在澳大利亚对患有CKD的儿童进行患者导航计划与标准护理的试验内经济评估.
- 确定与患者导航相关的成本效益和质量调整生命年 (QALY) 收益.
主要方法:
- 从医疗保健资助者的角度来看,从6个月的时间里收集成本和资源利用数据.
- 从0到6个月收集的生活质量 (QoL) 数据.
- 计算增量成本效益比率 (ICERs) 作为每个获得的QALY的额外成本.
主要成果:
- 在患者导航组 (10,249美元) 中,与标准护理 (9368美元) 相比,每个患者的总成本更高.
- 在6个月的时间里,两组之间获得的平均医疗费用或总QALY没有显著差异.
- ICER是41,960/QALY获得的,具有广泛的95%置信区间,表明存在相当大的不确定性.
结论:
- 与医疗保健总成本相比,患者导航员的成本相对较低.
- 关于儿童慢性脏病患者导航的成本效益存在相当大的不确定性.
- 需要进一步的研究来评估长期的成本效益和对健康结果和利用的影响.
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