1987 - 2002年老年冠心病护理的价值

The value of coronary heart disease care for the elderly: 1987-2002.

作者信息

Rosen Allison B, Cutler David M, Norton Douglas M, Hu Hsou Mei, Vijan Sandeep

机构信息

University of Michigan and Ann Arbor Veterans Affairs, USA.

出版信息

Health Aff (Millwood). 2007 Jan-Feb;26(1):111-23. doi: 10.1377/hlthaff.26.1.111.

DOI:10.1377/hlthaff.26.1.111

PMID:17211020

Abstract

We examine trends in the value of coronary heart disease (CHD) care in the United States over a fifteen-year period, finding major improvements in life expectancy from investment in CHD care for the elderly. For those with acute myocardial infarction (AMI), the value of care is good, although medical management might provide higher value than revascularization. Progress also has been made in preventing AMI. Overall, the value of our CHD spending is quite good. Despite this wise investment of resources to date, considerable opportunities remain for additional investment to improve the adoption of valuable but underused health services.

摘要

我们研究了美国15年间冠心病（CHD）护理价值的趋势，发现对老年人冠心病护理的投资使预期寿命有了显著改善。对于急性心肌梗死（AMI）患者，护理价值良好，尽管药物治疗可能比血运重建提供更高的价值。在预防AMI方面也取得了进展。总体而言，我们在冠心病方面的支出价值相当不错。尽管到目前为止资源得到了明智的投资，但仍有大量机会进行额外投资，以提高有价值但未充分利用的医疗服务的采用率。