Bryers F, Hawthorne V M
J Epidemiol Community Health (1978). 1978 Sep;32(3):171-4. doi: 10.1136/jech.32.3.171.
It is important to understand the full implications of introducing a new screening and treatment programme into the National Health Service. In this paper, we calculate, for mild hypertension, the cost of community-based screening and the cost of case-finding in general practice. We show that case-finding in general practice is both less expensive and more efficient. We calculate the cost of running a programme in general practice for five years and divide that cost by an estimate of the number of deaths that might be prevented as a result of introducing such a programme. This calculation give a minimum cost for extending a life by the programme.
了解将一项新的筛查和治疗方案引入国民医疗服务体系的全部影响是很重要的。在本文中，我们针对轻度高血压计算了基于社区的筛查成本以及全科医疗中的病例发现成本。我们表明，全科医疗中的病例发现成本更低且效率更高。我们计算了在全科医疗中运行一个方案五年的成本，并将该成本除以因引入这样一个方案可能预防的死亡人数估计值。这种计算得出了该方案延长生命的最低成本。
