Drummond M F, Mohide E A, Tew M, Streiner D L, Pringle D M, Gilbert J R
University of York.
Int J Technol Assess Health Care. 1991;7(2):209-19. doi: 10.1017/s0266462300005109.
An economic evaluation was undertaken concurrently with a randomized trial comparing a Caregiver Support Program (CSP) with existing conventional community nursing care for those caring for elderly relatives at home. The differences in resource consumption were compared with changes in caregiver quality of life, as measured by the Caregiver Quality of Life Instrument (CQLI). A 20% difference from baseline in the CQLI favored the experimental (CSP) group, although this did not reach conventional levels of statistical significance. A comparison of improvement in quality of life with costs implies an incremental cost per quality-adjusted life year gained of Canadian $20,000 for the CSP, which compares favorably with other health care interventions. Further, larger studies are required to confirm this result.
在一项随机试验中，对一项照顾者支持计划（CSP）与现有的常规社区护理进行了比较，为在家照顾老年亲属的人提供护理。同时进行了一项经济评估。将资源消耗的差异与照顾者生活质量的变化进行了比较，照顾者生活质量通过照顾者生活质量量表（CQLI）来衡量。CQLI较基线提高20%对实验组（CSP组）有利，尽管这未达到传统的统计学显著性水平。将生活质量的改善与成本进行比较表明，CSP每获得一个质量调整生命年的增量成本为20000加元，这与其他医疗保健干预措施相比具有优势。此外，需要进行更大规模的研究来证实这一结果。
