Department of Family Practice and Community Health, Ajou University School of Medicine, Suwon, Korea.
J Telemed Telecare. 2010;16(2):63-7. doi: 10.1258/jtt.2009.090407. Epub 2009 Dec 11.
We evaluated two 12-week long community-based obesity control programmes in Korea. One was a visiting-type programme (V-type) (n = 515) administered by a public health centre and the other was a remote-type programme (R-type) (n = 410) utilizing an Internet website and mobile phones with a short message service. The total cost for the intention-to-treat subjects was US$116,993 in the V-type programme and $24,555 in the R-type programme. In the per-protocol subjects, 66% of V-type participants (n = 117) achieved the target bodyweight reduction (5%) and 13% of R-type participants (n = 15). In the per-protocol subjects, the cost per person was $227 (V-type) and $60 (R-type). The cost per person achieving the target weight reduction was $975 (V-type) and $1637 (R-type). The average amount that participants were willing to pay was $71 (V-type) and $21 (R-type). The cost-effectiveness of the visiting-type community-based, short-duration obesity control programme was higher than the remote-type programme.
我们在韩国评估了两个为期 12 周的基于社区的肥胖控制项目。一个是由公共卫生中心管理的上门服务型项目（V 型）（n = 515），另一个是利用互联网网站和带短信服务的手机的远程服务型项目（R 型）（n = 410）。意向治疗受试者的总费用在 V 型方案中为 116993 美元，在 R 型方案中为 24555 美元。在符合方案的受试者中，V 型组有 66%的参与者（n = 117）达到了目标体重减轻（5%），R 型组有 13%的参与者（n = 15）。在符合方案的受试者中，人均费用为 227 美元（V 型）和 60 美元（R 型）。人均达到目标体重减轻的费用为 975 美元（V 型）和 1637 美元（R 型）。参与者愿意支付的平均金额为 71 美元（V 型）和 21 美元（R 型）。上门服务型、短期社区肥胖控制项目的成本效益高于远程服务型项目。
