心肌梗死治疗与预防的成本效益分析
Cost/benefit analysis of treatment and prevention of myocardial infarction.
作者信息
Cretin S
出版信息
Health Serv Res. 1977 Summer;12(2):174-89.
Abstract
The benefits resulting from introduction of coronary care units, mobile coronary care units, and a screening and intervention program to decrease the incidence of myocardial infarction (MI) are reduced to a common basis by modeling the effects of the three strategies as applied to a cohort of 10-years-olds. Published data on MI are used with a semi-Markov model of death from MI and other causes to estimate program effects on long-term survival, and cost/benefit ratios are compared for the three programs with both costs and benefits discounted over the lifetime of the cohort. Some problems of selecting a discount rate for comparing programs that incur costs and accrue benefits at widely separated times are discussed.
摘要
通过将冠状动脉护理病房、移动冠状动脉护理病房以及一项旨在降低心肌梗死（MI）发病率的筛查与干预计划应用于一个10岁人群队列的模型，可将这三种策略所带来的益处统一到一个共同基础上。已发表的关于MI的数据与MI及其他原因导致死亡的半马尔可夫模型一起用于估计这些计划对长期生存的影响，并对这三个计划的成本/效益比进行比较，同时将成本和效益在该队列的生命周期内进行贴现。文中还讨论了为比较在广泛分离的时间产生成本和效益的计划而选择贴现率时的一些问题。
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