与中心心脏康复计划相比,替代心脏康复计划的经济评估 - - 一项系统性审查
Ying Zou1, Jiamin Du1,2, Huibert Burger1
1Department of Primary and Long-Term Care, University Medical Center Groningen, University of Groningen, 9713GZ Groningen, The Netherlands.
European journal of preventive cardiology
|January 30, 2026
概括
替代性心脏康复计划 (ACRP) 与传统的中心心脏康复 (CBCR) 一样具有成本效益. 这次审查表明,ACRP,包括家庭和远程康复,为更广泛的心脏康复实施提供了可行的解决方案.
科学领域:
- 心脏病学 心脏病学
- 卫生经济学 卫生经济学
- 康复医学 康复医学 康复医学
背景情况:
- 传统的基于中心的心脏康复 (CBCR) 面临着成本,可访问性和利用性的挑战.
- 替代性心脏康复计划 (ACRP),如家庭和远程康复,已经出现,以解决这些局限性.
研究的目的:
- 系统地审查和综合ACRP与CBCR相比经济评估的证据.
- 评估不同心脏康复模型的成本效益和比较结果.
主要方法:
- 在多个数据库 (MEDLINE,Embase,CINAHL,Cochrane CENTRAL,Web of Science,EconLit) 和临床试验注册表中进行了全面的搜索.
- 包括随机对照试验,直接比较ACRP和CBCR的成本和有效性.
- 通过使用Cochrane风险偏见工具和Drummond检查清单来评估研究质量;使用随机效应模型进行元分析.
主要成果:
- 分析了13项涉及2040名参与者的研究.
- 分析表明,ACRP和CBCR之间的质量调整寿命年 (QALY) 没有显著差异.
- 十项研究报告ACRP的成本较低,五项经济评估中的三项发现ACRP具有成本效益.
结论:
- 根据ACRP,其成本效益与传统的CBCR相提并论.
- 家庭康复和远程康复显示了更广泛地融入心脏康复实践的潜力.
- 美国心脏康复中心 (ACRP) 是改善心脏康复服务的准入和效率的有希望的途径.
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