化学疗法患者报告症状监测系统的成本效益组件
Kathi Mooney1, Minkyoung Yoo2, Elizabeth S Sloss1
1University of Utah College of Nursing, Salt Lake City.
JAMA network open
|November 10, 2025
概括
完整的症状护理在家 (SCH) 干预,一个电子患者报告结果 (ePRO) 系统,被证明是最具成本效益的管理癌症症状负担. 综合的ePRO系统提高了护理质量,降低了成本.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 数字健康数字健康
背景情况:
- 电子患者报告结果 (ePRO) 系统有助于管理癌症症状负担.
- 很少有研究评估了单个ePRO组件的成本效益.
研究的目的:
- 确定成人癌症患者在家症状护理 (SCH) ePRO系统中最具成本效益的组件.
- 评估自动化自我管理指导和执业护士 (NP) 后续的组合.
主要方法:
- 经济评估使用5组随机临床试验的数据.
- 使用了马尔科夫模拟模型和增量成本效益比率 (ICER).
- 费用包括症状负担,住院,急诊和系统开发/操作.
主要成果:
- 完整的SCH干预表明了最高的成本效益.
- 对于完整的SCH与仅NP的随访,ICER是4957美元.
- 完整的SCH在各种支付意愿值中具有成本效益的可能性最高.
结论:
- 整体的SCH干预,整合所有组件,是最具成本效益的策略.
- 综合性ePRO系统通过减少症状负担来改善患者的生活质量.
- 以价值为导向的医疗保健支持使用综合的ePRO系统来管理癌症症状.
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