Smith G T
Office of Health Economics, London, England.
Am Heart J. 1990 Mar;119(3 Pt 2):725-7; discussion 727-8. doi: 10.1016/s0002-8703(05)80052-3.
The prevention of stroke through the control of hypertension is cost-effective economically and medically. A reduced incidence of stroke generates savings to the health service in hospital and surgical costs, and the avoidance of premature mortality means survivors contribute more to the economy as a result of extra working years. In addition to financial benefits, antihypertensive agents can also improve a patient's quality of life. This can be measured with a variety of health profiles or indexes and is often expressed together with life expectancy in quality-adjusted life years. This article examines the benefits produced by the effective control of hypertension, taking data from England and Wales during the past 30 years.
通过控制高血压来预防中风在经济和医学上都是具有成本效益的。中风发病率的降低为医疗服务节省了医院和手术费用,而避免过早死亡意味着幸存者由于额外的工作年限而对经济做出更多贡献。除了经济效益外,抗高血压药物还可以改善患者的生活质量。这可以通过各种健康状况或指标来衡量,并且通常在质量调整生命年中与预期寿命一起表示。本文利用过去30年英格兰和威尔士的数据,研究了有效控制高血压所带来的益处。