Christianson J B, Krishan I, Nobrega F T, Davis C S, Smoldt R K, Harris A M
Mayo Clin Proc. 1981 Jan;56(1):11-6.
This paper compares the costs of a categorical clinic model for community hypertension intervention with the costs of two less resource-intensive hypertension programs. Three categories of costs are measured for each program: program costs, patient costs, and time costs. Total costs are expressed in terms of costs per hypertensive patient controlled under each program. When adjusted for differences in hypertension prevalence and screening costs in the three community programs, the cost-effectiveness of the categorical clinic model is questionable. These results suggest that careful analyses of the categorical clinic model in other communities should be conducted before public resources are committed to the establishment of such models on a widespread basis.
本文比较了社区高血压干预的分类诊所模式的成本与另外两个资源密集程度较低的高血压项目的成本。针对每个项目测量了三类成本：项目成本、患者成本和时间成本。总成本以每个项目控制下的高血压患者的人均成本来表示。在对三个社区项目中高血压患病率和筛查成本的差异进行调整后，分类诊所模式的成本效益值得怀疑。这些结果表明，在将公共资源广泛用于建立此类模式之前，应该对其他社区的分类诊所模式进行仔细分析。
