为痴呆症患者的非正式照顾者提供平衡伙伴计划的成本后果分析
Sander L Osstyn1, Ron Handels1, Caroline Rupprecht1
1Department of Psychiatry and Neuropsychology, Faculty of Health Medicine and Life Sciences, Alzheimer Centre Limburg, Mental Health and Neuroscience Research Institute, Maastricht University, Maastricht, the Netherlands.
痴呆症护理人员的Partner in Balance (PiB) 计划显示,最初的成本较高,但护理人员的效用有所改善. 需要进一步的研究来确认退款决定的长期成本效益和社会影响.
科学领域:
- 老年学是一门学科.
- 卫生经济学 卫生经济学
- 护理人员支持护理人员支持
背景情况:
- 痴呆症患者的非正式照顾者需要额外的支持.
- 平衡合作伙伴 (PiB) 计划提供混合自主管理支持.
- 护理人员支持计划的成本效益对医疗保健系统至关重要.
研究的目的:
- 评估与痴呆症患者的非正式照顾者通常的照顾相比,Partner in Balance (PiB) 计划的成本后果.
- 在8周的时间内评估医疗保健成本和护理人员效用.
主要方法:
- 在荷兰,一项随机等候名单对照试验与78名非正式照顾者进行.
- 从医疗保健角度分析成本后果,使用痴呆症资源利用率 (RUD) 和ICECAP-O实用性得分.
- 进行了引导和灵敏度分析,以确保结果的稳定性.
主要成果:
- 与通常的护理 (805欧元) 相比,PiB计划在8周 (p=0.013) 的时间内造成了显著更高的成本 (2,027欧元).
- 较高的成本主要与干预和养老院费用有关.
- 在PiB组的护理人员报告了更好的实用性得分 (0.82比0.76),虽然不是统计学上显著的 (p=0.073).
结论:
- "平衡合作伙伴" (PiB) 计划显示了支持痴呆症护理人员的潜力,较高的初始成本被改善的护理人员实用性所抵消.
- 该研究中的局限性阻止了充满信心的偿还建议.
- 在考虑对PiB的补偿之前,建议进一步研究长期的成本效益和更广泛的社会影响.
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