高血压药物治疗的价-效医学研究

目的通过观察药费对高血压病人治疗的影响力度,来探讨价效医学在高血压治疗中的意义.方法从2000年7月至2003年10月30 日,对85例需要药物治疗的高血压病人,分为自愿选择高药费组(A组),低药费组(B组)和强行高药费组(C组)治疗方案.并追踪坚持治疗及血压控制情况.结果多数(61.7%)病人选择低药费治疗方案,且有较高的坚持服药率69.2%,高药费组坚持服药率57.5%,强行高药费组坚持服药率最低48%.因此,廉价药治疗,总效明显增大.结论多数病人愿意接受低药费治疗方案,采用低费用药品,可以提高治疗率,可使总体效益提高.临床应从价-效医学观念出发,结合患者的疾病情、经济承受能力和个人愿望决定治疗方案.

A Study on the Cost-effect of Medication of Hypertension

Objectives To investigate the relation between the cost of medicatiom and the effects of the therapy so as to explore the significance of Price-effect Medicine in the treatment of the patients with hypertension. Methds Since July 2000 to October 30th, 2003, we divided the 85 patients into three groups: group A who chose higher payment by themselves; group B who are gave medicine in low price; group C who are gave high price medicine. We traced the result. Result The most patients (61.7%)selected the lower payment, the rate of insisting the medication was 69.2%, but that of group B was 57.5%, and the group C was 18%. The lower cost medicine was easier accepted by the most patients. Conclusions Most patients prefer lower payment therapy of hypertension. The medicine with lower cost could increase the rate of hypertensive therapy. The doctors should use the price-effect medicine concept in their clinical works, and choose the best way according to the conditions of patients.