社区高血压非药物综合干预成本效果分析

发布时间：2018-01-30 08:42

本文关键词： 社区高血压非药物干预成本效果　出处：《中国卫生经济》2011年02期 　论文类型：期刊论文

【摘要】：目的:评估上海社区高血压疾病细节管理的成本效果,为建立和推广高血压预防和控制的模式提供依据。方法:资料来自上海市区4个社区1 442名高血压病患者1年干预的随访。以血压水平和血压达标为效果指标,测算项目的管理成本和人力劳务成本,采用成本效果比方法估计社区高血压综合干预的成本效果。结果:经过管理分摊,干预组和日常管理组每年每管理1个高血压患者的成本分别是968.8元和740.6元。成本效果分析显示,与日常管理组相比,干预组每降低1 mmHg(0.133kPa)的收缩压可少花费44.51元,每降低1 mmHg舒张压可少花费82.52元,每提高1个百分点的血压控制达标率可少花费9.63元。结论:本次社区高血压非药物综合性干预项目比日常管理更加节省卫生资源。
[Abstract]:Objective: to evaluate the cost effectiveness of detail management of hypertension in Shanghai community. To provide the basis for establishing and popularizing the model of hypertension prevention and control. Methods: data from 4 communities in Shanghai. 442 patients with hypertension were followed up for one year. The blood pressure level and blood pressure standard were taken as the effective index. The management cost and labor cost of the project were measured, and the cost effect of community hypertension comprehensive intervention was estimated by cost-effect ratio method. Results: after management allocation. The cost of the intervention group and the daily management group was 968.8 yuan and 740.6 yuan per year respectively. The cost effect analysis showed that compared with the daily management group. In the intervention group, the systolic blood pressure decreased by 44.51 yuan and the diastolic blood pressure by 82.52 yuan per 1 mmHg. The rate of blood pressure control can be reduced by 9.63 yuan. Conclusion: this community hypertension non-drug comprehensive intervention project can save more health resources than daily management.
【作者单位】：上海市疾病预防控制中心;复旦大学公共卫生学院;
【分类号】：F426.72;R544.1
【正文快照】： 社区高血压综合防治是适合我国国情的重要措施。研究证实社区非药物干预对于高血压的控制是有效的[1]。但慢病防治补偿经费不足是我国社区面临的重要问题[1]。已有一些研究关注社区公共卫生服务的补偿机制[2-3]。我们在全市开展高血压管理的基础上在4个社区开展的上海社区高

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