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现代:一种用于对痴呆症干预措施的结果和成本影响进行建模的综合方法。方案文件。

MODEM: A comprehensive approach to modelling outcome and costs impacts of interventions for dementia. Protocol paper.

作者信息

Comas-Herrera Adelina, Knapp Martin, Wittenberg Raphael, Banerjee Sube, Bowling Ann, Grundy Emily, Jagger Carol, Farina Nicolas, Lombard Daniel, Lorenz Klara, McDaid David

机构信息

Personal Social Services Research Unit, London School of Economics and Political Science, London, UK.

Centre for Dementia Studies at the Brighton and Sussex Medical School, University of Sussex, Falmer, Brighton, UK.

出版信息

BMC Health Serv Res. 2017 Jan 11;17(1):25. doi: 10.1186/s12913-016-1945-x.

Abstract

BACKGROUND

The MODEM project (A comprehensive approach to MODelling outcome and costs impacts of interventions for DEMentia) explores how changes in arrangements for the future treatment and care of people living with dementia, and support for family and other unpaid carers, could result in better outcomes and more efficient use of resources.

METHODS

MODEM starts with a systematic mapping of the literature on effective and (potentially) cost-effective interventions in dementia care. Those findings, as well as data from a cohort, will then be used to model the quality of life and cost impacts of making these evidence-based interventions more widely available in England over the period from now to 2040. Modelling will use a suite of models, combining microsimulation and macrosimulation methods, modelling the costs and outcomes of care, both for an individual over the life-course from the point of dementia diagnosis, and for individuals and England as a whole in a particular year. Project outputs will include an online Dementia Evidence Toolkit, making evidence summaries and a literature database available free to anyone, papers in academic journals and other written outputs, and a MODEM Legacy Model, which will enable local commissioners of services to apply the model to their own populations.

DISCUSSION

Modelling the effects of evidence-based cost-effective interventions and making this information widely available has the potential to improve the health and quality of life both of people with dementia and their carers, while ensuring that resources are used efficiently.

摘要

背景

“MODEM项目”(一种全面的痴呆症干预措施结果及成本影响建模方法)探讨了痴呆症患者未来治疗与护理安排的变化,以及对家庭和其他无偿护理者的支持,如何能够带来更好的结果并更有效地利用资源。

方法

“MODEM项目”首先对痴呆症护理中有效和(潜在)具有成本效益的干预措施的文献进行系统梳理。这些研究结果以及来自一个队列的数据,将被用于模拟从现在到2040年在英格兰更广泛地提供这些循证干预措施对生活质量和成本的影响。建模将使用一套模型,结合微观模拟和宏观模拟方法,对从痴呆症诊断点起个体一生中的护理成本和结果,以及特定年份中个体和整个英格兰的护理成本和结果进行建模。项目产出将包括一个在线痴呆症证据工具包,向任何人免费提供证据摘要和文献数据库、学术期刊上的论文及其他书面产出,以及一个“MODEM遗产模型”,这将使地方服务专员能够将该模型应用于他们自己的人群。

讨论

对循证成本效益干预措施的效果进行建模并广泛提供这些信息,有可能改善痴呆症患者及其护理者的健康和生活质量,同时确保资源得到有效利用。

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