在中国,药剂师管理的高血压治疗的长期成本效益
Jingxuan Wei1,2, Lihong Gao1, Zhuying Jing1
1Department of Pharmaceutical Regulatory Science and Pharmacoeconomics, School of Pharmacy, Nanjing Medical University, Nanjing, Jiangsu, China.
BMC health services research
|November 27, 2025
概括
药剂师管理的高血压治疗在中国是一个具有成本效益的策略,改善了质量调整寿命 (QALYs) 并降低了医疗保健成本. 这种方法在管理高血压及其相关疾病方面具有经济性和有效性.
科学领域:
- 药物经济学 药物经济学
- 心血管健康 心血管健康
- 公共卫生政策 公共卫生政策
背景情况:
- 高血压是中国心血管和脏疾病的主要原因,有效的血压控制率较低.
- 药剂师管理的高血压护理在改善治疗结果方面显示出有前途.
- 在中国,医药护理的长期成本效益仍然被低估.
研究的目的:
- 评估药剂师管理的高血压护理与中国的常规护理之间的成本效益.
- 评估对总成本,质量调整后寿命年 (QALYs) 和医疗保健支出的影响.
- 确定与这种护理模式相关的潜在的国家成本节约.
主要方法:
- 一个马尔科夫模型被开发来模拟一个假设的患者队列在他们的预期寿命.
- 模型参数来自随机对照试验和中国人口数据.
- 进行了敏感性和场景分析,以确保结果的稳定性.
主要成果:
- 药剂师管理的护理增加了每人QALY0.07,医疗费用增加了262.58.8美元.
- 增量成本效益比 (ICER) 为每QALY3,708美元,低于中国的支付意愿门.
- 这种护理模式减少了心血管和事件,导致整体医疗保健节省,特别是在老年人群中.
结论:
- 在中国,药剂师管理的高血压治疗是一种经济有效的策略.
- 研究结果支持将药物护理纳入慢性疾病管理.
- 政策建议包括将药品护理纳入医疗保健支付系统.
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