增加结肠直肠癌查:对患者导航服务的系统经济审查
Jeffrey A Reynolds1, Sajal K Chattopadhyay1, Verughese Jacob1
1The Community Guide Program, Office of Science, Centers for Disease Control and Prevention (CDC), Atlanta, GA.
American journal of preventive medicine
|December 28, 2025
概括
患者导航服务是提高结肠直肠癌 (CRC) 查率和减少健康差异的经济有效策略. 这些服务对结肠镜显示出有利的投资回报率 (ROI),使其在经济上可行.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 预防癌症 预防癌症
背景情况:
- 结肠直肠癌 (CRC) 查率仍然低于最佳水平,特别是在脆弱人群中.
- 在CRC查中的差异有助于不平等的健康结果.
- 患者导航 (PN) 服务已经成为应对这些挑战的潜在策略.
研究的目的:
- 系统地审查患者导航 (PN) 服务的经济证据,以增加结直肠癌 (CRC) 查.
- 评估PN服务在减少CRC查差异方面的成本效益和投资回报率 (ROI).
主要方法:
- 高收入国家的英语语言研究的系统经济审查 (数据库开始至2022年12月).
- 排除对患有癌症或没有医疗保健系统参与的患者的研究.
- 2022年报告的货币价值是美元;2023年完成数据收集和分析.
主要成果:
- 包括17项研究 (16项来自美国,1项来自法国).
- 每人中位干预成本为150美元;每人额外查的中位成本为663美元.
- 结肠镜的投资回报率 (ROI) 中位数为2.3%;每次获得的QALY成本为负值,表明节省了成本.
结论:
- 患者导航服务是提高CRC查的成本效益,超过每QALY获得的50,000美元的门.
- 通过结肠镜检查增加CRC查,PN服务显示出有利的ROI.
- 经济证据支持PN服务作为改善CRC查和减少差异的有价值工具.
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