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经济分析在糖尿病及糖尿病护理中的应用。

Application of economic analysis to diabetes and diabetes care.

作者信息

Zhang Ping, Engelgau Michael M, Norris Susan L, Gregg Edward W, Narayan K M Venkat

机构信息

Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA.

出版信息

Ann Intern Med. 2004 Jun 1;140(11):972-7. doi: 10.7326/0003-4819-140-11-200406010-00039.

Abstract

Facing limited resources and increases in demand from competing programs, policymakers and health care providers seek guidance from economic studies on how to use health care resources wisely. Previous economic studies mainly focused on estimating the cost of diabetes and cost-effectiveness of different interventions. These studies found that diabetes is costly and that its cost will continue to increase; thus, more resources should be devoted to research aimed at finding effective means to prevent the disease and its complications. In addition, the cost-effectiveness of interventions varies greatly in terms of quality-adjusted life-years gained; therefore, efficient uses of resources should be an important consideration when interventions are prioritized. The need for economic studies will continue to grow because of increasing demand for limited resources from the growing number of interventions available. Future studies should be of better quality and broadened in areas of research.

摘要

面对资源有限以及来自相互竞争项目的需求增加的情况,政策制定者和医疗保健提供者寻求经济研究的指导,以了解如何明智地使用医疗保健资源。以往的经济研究主要集中在估算糖尿病的成本以及不同干预措施的成本效益。这些研究发现,糖尿病成本高昂,且其成本将持续增加;因此,应将更多资源投入到旨在寻找有效预防该疾病及其并发症方法的研究中。此外,就获得的质量调整生命年而言,干预措施的成本效益差异很大;因此,在确定干预措施的优先顺序时,资源的有效利用应是一个重要考虑因素。由于现有干预措施数量不断增加,对有限资源的需求不断增长,经济研究的需求将持续增加。未来的研究应提高质量并拓宽研究领域。

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