计算手和手腕护理价值:对当前文献的系统审查
Zachary Chen1,2, Mithil Gudi1,2, Alex Lindahl3,2
1Wayne State University School of Medicine, Detroit, MI.
Journal of hand surgery global online
|February 2, 2026
概括
手和手腕手术中的基于价值的护理正在发展. 这次审查发现了计算治疗价值的各种方法,突出了骨折的成本效益高的策略和标准化价值评估的需要.
科学领域:
- 整形外科 整形外科 整形外科
- 卫生经济学 卫生经济学
- 基于价值的医疗保健
背景情况:
- 全球医疗保健系统正在向以价值为基础的护理模式过渡.
- 手和手腕领域提供了显著的质量和效率改进的潜力,因为高患者数量和多样化的治疗选择.
研究的目的:
- 系统地审查和分析有关价值计算的文献,比较手和手腕护理中的不同治疗方案.
- 根据现实世界的临床数据确定成本有效的治疗策略.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在三个数据库中搜索了研究文章,比较手和手腕护理中的治疗值,使用现实世界的临床数据.
- 包括181篇选中的19篇文章.
主要成果:
- 价值评估通常使用EuroQol 5维调查和增量成本效益比率 (ICER).
- 确定了一些具有成本效益的策略,包括对远距离半径骨折进行减少的成像,以及对骨骨折进行即时的MRI.
- 发现带对于偏距半径骨折来说,比刚性固定更具成本效益.
结论:
- 基于价值的研究中的方法变化限制了直接比较.
- 大多数研究都来自单一付款者系统,这表明需要在多个付款者环境中进行更多研究.
- 标准化的价值评估方法对于改善全球手和手腕护理至关重要.
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