在拉丁美洲的腹腔透析 (PD) 治疗中进行微软化研究的估计中需要考虑的成本因素
Celso Souza de Moraes-Júnior1, Natalia Orihuela2, Natália Maria da Silva Fernandes3
1Universidade Federal de Juiz de Fora, Departamento de Finanças e Controladoria e Centro de Estudos Interdisciplinares em Nefrologia (NIEPEN), Juiz de Fora, MG, Brazil.
Jornal brasileiro de nefrologia
|February 9, 2026
概括
这项研究开发了一份检查清单,用于腹膜透析 (PD) 微成本中消耗成本元素. 经过验证的检查清单有助于在各国之间进行公平的经济比较,以便更好地分配资源.
科学领域:
- 卫生经济学 卫生经济学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗成本分析 医疗成本分析
背景情况:
- 经济评估研究对于临床决策和资源分配至关重要.
- 准确的成本评估对于比较治疗方案至关重要.
- 腹膜透析 (PD) 中的微成本研究需要标准化的成本元素识别.
研究的目的:
- 为 PD 中的微成本计算制定消耗成本元素的全面检查清单.
- 提高PD经济评估的准确性和公平性.
- 为了促进PD治疗成本的跨国比较.
主要方法:
- 一个多阶段的方法,包括检查列表设计,德尔菲方法,专家小组,以及向18个拉丁美洲国家的PD专业人员分发的问卷.
- 纳入标准侧重于具有至少一年PD经验的专业人士.
- 统计分析涉及离散的概率分布,最大概率估计和调整分类的Akaike信息标准.
主要成果:
- 开发了一份包含七个维度和41个成本元素的验证检查清单.
- 结果允许根据其重要性对成本要素进行分类.
- 为了评估元素,实现了对三种选择选项的细分,并进行了概率评估.
结论:
- 开发的检查清单促进了比较PD研究中的更公平的经济维度.
- 它可以可靠地比较不同国家的PD经济值.
- 检查清单确保在经济评估中考虑适当的成本因素.
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