预测大脑或脊髓损伤后家庭干预的效果和评估成本效益:一个随机对照试验
Karoline Yde Andersen1, Frederik Have Dornonville de la Cour2, Mia Moth Wolffbrandt3
1Neurorehabilitation Research and Knowledge Centre, Copenhagen University Hospital - Rigshospitalet, Glostrup, Denmark. karoline.yde.andersen@regionh.dk.
Journal of rehabilitation medicine
|February 12, 2026
概括
这项研究发现,伤害类型和伤害后的时间等预测因素对家庭干预反应的影响最小. 从医疗保健支付者的角度来看,干预措施的成本效益非常高,成本效益的概率为99.8%.
科学领域:
- 神经康复疗法 神经康复疗法
- 卫生经济学 卫生经济学
- 临床心理学 临床心理学
背景情况:
- 家庭干预对于神经康复后的患者至关重要.
- 预测治疗反应和了解成本效益对于医疗保健支付人来说至关重要.
研究的目的:
- 为了确定家庭干预的治疗反应的预测因素.
- 从医疗保健支付人的角度评估这种干预措施的成本效益.
主要方法:
- 使用线性混合效应回归的探索性预测分析.
- 从医疗保健支付者的角度进行基于试验的经济评估.
- 评估参与者 (n=157) 经神经康复后4个月至2年.
主要成果:
- 预测因素 (受伤类型,受伤以来的时间,交付格式,关系) 显示对治疗反应的影响微不足道到微不足道.
- 增加成本为798.16欧元 (CI:700.9欧元;895.5欧元).
- 增量健康效应在2个月后在心理组件总结 (MCS) 上为5.64分.
- 在300欧元的支付意愿门下,MCS的成本效益概率为99.8%.
结论:
- 鉴定的预测因素对家庭干预结果的影响很小.
- 从医疗保健支付者的角度来看,家庭干预表明了强大的成本效益.
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