公共卫生 公共卫生
Zartashia Ghani1, Johan Jarl2, Peter Anderberg3
1Applied Health Technology, Department of Health, Blekinge Institute of Technology, Karlskrona, Karlskrona, Sweden.
SMART4MD应用程序并没有显著改善轻度认知障碍 (PwMCI) 患者或他们的护理人员的生活质量. 经济评估显示成本效益差异很大,标准护理在瑞典占主导地位,但在西班牙显示出潜力.
科学领域:
- 卫生经济学 卫生经济学
- 老年学是指老年学的学科.
- 数字健康数字健康
背景情况:
- 评估SMART4MD平板电脑应用程序对轻度认知障碍 (PwMCI) 患者及其非正式照顾者的有效性.
- 评估SMART4MD应用程序与标准护理一起对标准护理单独产生18个月的经济影响.
研究的目的:
- 从瑞典和西班牙的医疗保健提供者的角度对SMART4MD应用进行经济评估.
- 确定SMART4MD干预措施对PwMCI及其照顾者的成本效益.
主要方法:
- 这是一项随机对照试验,涉及瑞典的345个DYAD和西班牙的347个PwMCI.
- 主要结局:经质量调整的寿命年 (QALYs).
- 分析报告为增量成本效益比率 (ICER).
主要成果:
- 在瑞典,SMART4MD主要由标准护理服务主导.
- 在西班牙,ICER是PwMCI的3,337欧元/QALY,非正式护理人员的78,000欧元/QALY.
- 在两个地点的组之间没有观察到成本或QALY的统计学上显著差异.
结论:
- 特定地点的结果表明,需要进一步探索SMART4MD应用程序对PwMCI的成本效益.
- SMART4MD应用程序的经济价值需要更深入的调查,因为研究地点的结果各不相同.
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