低收入和中等收入国家的非医生医疗保健工作者使用高血压管理的成本效益和实施策略:系统性审查
Gabriel Lamkur Shedul1,2,3, Olutobi Adekunle Sanuade4,5,6, Emmanuel Iroboudu Okpetu1,2
1Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, United States.
Global heart
|March 16, 2026
概括
在低收入和中等收入国家,非医生医疗保健工作者有效地管理高血压,提供了具有成本效益的解决方案. 需要进一步的研究来证实这些发现在不同的环境中.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 全球健康 全球健康
背景情况:
- 高血压是一个重大的全球健康挑战,特别是在低收入和中等收入国家 (LMICs).
- 非医生医疗保健工作者 (NPHCW) 越来越多地参与在资源有限的环境中管理慢性疾病.
- 评估NPHCW主导的高血压管理的经济可行性和实施对于医疗保健政策至关重要.
研究的目的:
- 系统地审查由NPHCW在LMIC中高血压管理的成本效益.
- 确定NPHCW领导的高血压护理计划的有效实施策略.
- 综合经济成果和成本效益指标的证据.
主要方法:
- 系统的文献搜索 (开始-2024年5月) 遵循PRISMA指南.
- 在LMIC中包括由NPHCW在LMIC中对成人高血压管理的经济评估.
- 使用德拉蒙德检查清单和ROBINS-I.I.的研究质量评估.
主要成果:
- 包括来自八个国家的七项研究 (2002-2022年),使用不同的研究设计.
- 参与的NPHCW包括药剂师,社区卫生工作者和护士.
- 成本效益的结果各不相同,每毫米的成本降低,每DALY的成本避免,每QALY的成本增加等措施表明了潜在价值.
结论:
- 通过NPHCW进行高血压管理,在LMIC中证明了成本效益.
- 实施策略通常涉及培训NPHCW和社区参与.
- 建议进行额外的研究,以提高LMIC不同背景的研究结果的概括性.
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