Heart：采用短信来预防复发性心血管事件的成本效益如何？

2017-02-25 xing.T MedSci原创

由此可见，提供TEXT ME可以预测将产生更好的健康结局，并且可以为卫生系统节约整体成本。

近日，在心脏病领域权威杂志Heart上发表了一篇研究文章，研究人员旨在评估烟草、运动和饮食信息（TEXT ME）的成本效益，TEXT ME是以短信为基础的干预，其提供了建议、动机、信息和支持，以改善健康相关的行为。

研究人员采用终生马尔可夫模型来估计避免的主要血管事件（心肌梗死和脑卒中）、收益的质量调整生命年（QALY）、卫生系统的成本和每一QALY收益的增量成本。该模型从TEXT ME的一项随机对照试验中获悉数据，从系统回顾和荟萃分析中得到的证据被用来估计危险因素改变对大血管事件风险的影响。研究人员采用概率敏感性分析和一系列情景分析来评估预期的成本和健康结局。

该研究的目标人群为确诊为冠心病的50000名患者，进行干预后预计将导致减少563例心肌梗死，脑卒中减少361例以及1143个额外的QALYs。TEXT ME预计将为卫生系统中患者终生整体节省1056万美元。因此，干预可以被认为是具有节省成本和改善健康的效应。研究人员发现不管是参数还是结构的不确定性都不能对TEXT ME具有成本效益这一结论产生显著的影响。

由此可见，提供TEXT ME可以预测将产生更好的健康结局，并且可以为卫生系统节约整体成本。

原始出处：

Edward Burn,et al. Cost-effectiveness of a text message programme for the prevention of recurrent cardiovascular events. Heart. 2017. http://dx.doi.org/10.1136/heartjnl-2016-310195

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2017-03-13 hukaixun

#血管事件#

30 0
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2017-08-22 hb2008ye

#复发性#

33 0
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2017-02-27 zhaojie88

#ART#

29 0
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2017-02-27 zhaojie88

#成本效益#

33 0
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2017-02-27 slcumt

#HEART#

27 0
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2017-02-26 明月清辉

这个方法不错

50 0
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2017-02-26 txqjm

谢谢了，x'x'e

39 0
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2017-02-25 laymankey

非常感谢分享！

37 0

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