上海市某中心城区糖尿病社区干预的成本-效果评价

目的评价社区医生进行糖尿病强化培训干预的作用以及这种干预是否具有成本效果。方法比较干预前后各项指标的变化,对干预的成本进行成本核算。结果干预组病人平均每周至少检测1次血糖的频率上升了18.72%,糖尿病病人在健康饮食、蔬菜水果和高脂肪食物摄入等健康行为上有所改善,血糖与糖化血红蛋白值下降。提高1个血糖监测百分点所需投入的成本为3163元;平均降低1mmol/L的血糖所需的投入为49442元;平均降低1个单位的糖化血红蛋白值所需的投入为30066元。结论对社区医生进行糖尿病强化培训可以改善病人预后,是具有成本效果的。

The Cost-effectiveness Evaluation of Community-based Comprehensive Intervention Among Diabetic Patient in Shanghai

OBJECTIVE To evaluate the outcome and cost-effectiveness of intensive training intervention to doctors in community medical care center. METHODS Compare the difference between and account the cost of the intervention. RESULTS According to intervention, the frequency of at least one glucose test per week has increased by 18.72% and the patient’ s behavior at healthy diet, fruits and vegetable, high fat food has improved and the value of blood glucose and glycohemoglobin has decreased. To increase the frequency of at least one glucose test per week by one percent needs $3 163, to decrease 1 mmol/L blood glucose needs $49 442,to decrease one glycohemoglobin needs $30 066. CONCLUSION The intensive training intervention to doctors in community medical care center can improve the prognosis of diabetes patients, it is a cost-effectiveness scheme.