经济评估,资源利用和近视管理的相关经济负担:一个系统的文献综述
Thom Wl de Milliano1, Kun Shi-van Wielink2, Frederic Ernst3
1Santen SA, Geneva, Switzerland.
Journal of global health
|December 29, 2025
概括
近视干预在成本效益方面各不相同,数字策略和低剂量氨酸对儿童来说是有前途的. 成年人从拉尼比祖马布和折射手术中受益,但需要更多的标准化研究.
科学领域:
- 眼科医生 眼科 眼科
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 近视的进展导致显著的视觉并发症和经济成本.
- 高患病率需要对干预措施的经济影响和资源利用进行评估.
研究的目的:
- 系统地审查近视干预措施的经济影响,医疗保健资源利用率 (HCRU) 和成本效益.
- 在不同年龄组中确定近视管理的成本有效策略.
主要方法:
- 在OVID SP平台上进行的系统文献审查 (2009-2024年).
- 使用马尔科夫模型分析的经济评估研究;使用德拉蒙德和杰斐逊检查清单评估偏差风险.
- 独立的双审查员选与对分歧的仲裁.
主要成果:
- 包括20项研究,12项成本效益,4项HCRU,8项医疗保健成本,主要来自东亚.
- 具有成本效益的儿科干预措施:数字策略,低剂量氨酸 (0.05%) 和多焦镜头.
- 成人干预:拉尼比祖马布用于病态近视和折射性手术显示成本效益和长期节省.
- 视力纠正和专家访问带来的经济负担,区域差异很大.
结论:
- 近视造成了巨大的经济负担,强调了需要优化,具有成本效益的干预措施.
- 数据有限,地理偏差和方法不一致需要标准化的评估,以获得更广泛的适用性.
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