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Cholesterol Efflux Assay
Published on: March 6, 2012
全民教育方法降低血清胆固醇水平的成本效益
A N Tosteson1, M C Weinstein, M G Hunink
1Department of Medicine, Dartmouth Medical School, Hanover, NH, USA.
Circulation
|January 7, 1997
概括
全民计划有效降低血清胆固醇水平,挽救生命和资源. 这些具有成本效益的公共卫生策略对于减少冠心病至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 预防心血管疾病 预防心血管疾病
背景情况:
- 血清胆固醇是冠心病 (CHD) 的重要危险因素.
- 全人口干预提供了一个可扩展的风险因素修改方法.
研究的目的:
- 估计美国成年人血清胆固醇降低全民策略的成本效益.
- 评估针对降低胆固醇的公共卫生倡议的经济影响.
主要方法:
- 使用冠状动脉心脏病政策模型进行成本效益分析.
- 从文献中合成的数据,包括斯坦福三社区研究和北卡列利亚项目.
- 干预措施以全民计划为模式,平均降低2%的血清胆固醇.
主要成果:
- 一个类似于斯坦福五城市项目的全民计划,每人每年花费4.95美元.
- 这种干预预计可以节省一年的生命,估计成本为3200美元.
- 当计划针对现有心脏病或其他风险因素的个体时,收益会增加.
结论:
- 全民范围内的降胆固醇计划是一种具有成本效益的公共卫生干预.
- 这些战略应纳入国家卫生计划,以打击冠心病.
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