社区高血压非药物综合干预成本效果分析

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。

The cost-effectiveness analysis of community-based non-pharmacological intervention for hypertensive patients in Shanghai

Objective:To evaluate cost-effectiveness of hypertension detail management program in community for providing evidence in establishment and generalization of model.Method:1 442 hypertensive patients from 4 communities in Shanghai received integrated intervention for a year.The primary effective index were mean level and control rate of blood pressure between intervention and usual care groups.The cost measured included both program management and manpower and the results were analyzed by cost-effectiveness ...