概括
公开资助家庭加热加湿高流量疗法 (HHHFT) 可以节省儿科阻塞性睡眠呼吸暂停 (OSA) 的费用,并减少医院访问. 然而,它可能会增加其他呼吸道疾病的成本,成本是进入障碍.
科学领域:
- 卫生技术评估 卫生技术评估
- 呼吸系统医学 呼吸系统医学
- 卫生经济学 卫生经济学
背景情况:
- 呼吸系统疾病在严重程度和影响方面存在很大差异.
- 治疗方案包括药物,肺部康复,手术和各种呼吸道疗法.
- 加热加湿高流量疗法 (HHHFT) 是一种具有潜在家庭应用的疗法.
研究的目的:
- 评估针对特定的儿科和成人呼吸系统疾病的家庭医疗卫生技术.
- 评估基于家庭的HHHFT的有效性,安全性,预算影响和患者价值.
- 根据有关公共资助的决定,为家庭 HHHFT 提供信息.
主要方法:
- 系统地在文献中搜索关于HHHFT有效性和安全性的临床证据.
- 对安大略省的公共资金进行系统的经济文献搜索和预算影响分析.
- 与患者和护理合作伙伴进行了定性访谈,这些患者和护理合作伙伴有呼吸系统疾病的实践经验.
主要成果:
- 没有研究符合临床审查的资格标准;来自其他背景的证据表明HHHFT的好处.
- 估计5年预算影响:儿童阻塞性睡眠呼吸暂停 (OSA) 的成本节省,但其他条件额外250万美元.
- 护理伙伴报告说,当其他治疗方法失败时,HHHFT是必不可少的,改善了生活质量,但成本是一个重要的障碍.
结论:
- 虽然缺乏直接的比较研究,但HHHFT在医院中使用,并在其他环境中显示出好处.
- 公共资金可以为儿科OSA节省成本,减少住院治疗,但增加其他疾病的成本.
- 基于家庭的HHHFT受到患者和护理人员的重视,但可访问性受到成本的限制.
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