晚期心力衰竭的医疗治疗成本:一个范围审查
Livia A Goldraich1,2,3, Daniela Meirelles do Nascimento2,4, Lucas Porto Santos5
1Advanced Heart Failure and Heart Transplant Program, Division of Cardiology, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Systematic reviews
|November 6, 2025
概括
医疗管理患者的高级心力衰竭 (HF) 护理成本很高,主要是由住院治疗所带来的. 需要进一步的研究来了解这个患者群体的综合医疗支出.
科学领域:
- 心脏病学 心脏病学
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 10-15%的心力衰竭 (HF) 患者进展到晚期.
- 由于资格不合格或无法获得先进疗法,许多晚期HF患者受到医疗管理.
- 医疗管理高级HF的经济负担仍然在很大程度上未得到量化.
研究的目的:
- 对未接受先进治疗的高级HF患者的成本进行范围审查.
- 确定主要的医疗保健机构,这些机构有助于在高级高频率领域的支出.
- 确定医疗管理高级HF患者的主要成本驱动因素.
主要方法:
- 在PubMed/MEDLINE,Embase,Scopus和BVS中搜索了关于高级高频率直接成本的研究.
- 从公共支付者的角度使用微成本或宏成本方法提取的成本数据.
- 分析了成本信息,包括每位患者的总成本和主要成本驱动因素,并注意到方法异质性.
主要成果:
- 从8157个已识别的记录中,包括了16项研究,具有不同的高级HF标准.
- 在大多数研究中,住院治疗一直被确定为主要的成本驱动因素.
- 每名患者的平均年度总成本为48,309美元 (国际美元),美国报告的成本更高.
结论:
- 在全球范围内,高级HF护理的成本方法异构.
- 尽管存在差异,但高级HF的医疗保健支出相当大,主要是由于住院治疗.
- 综合性成本研究对于准确评估高级HF人口的健康支出至关重要.
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