@文章{信息:doi/10.2196/31702，作者=“Grout, Leah和Telfer, Kendra和Wilson, Nick和Cleghorn, Christine和Mizdrak, Anja”，标题=“处方智能手机应用程序在初级保健中促进体育活动:健康收益和成本节约的建模研究”，期刊=“J医学互联网研究”，年=“2021”，月=“12”，日=“20”，卷=“23”，数量=“12”，页=“e31702”，关键词=“体育活动;智能手机应用程序;移动健康;移动健康;建模;初级保健;背景:在世界范围内，体育活动不足是健康损失的一个重要原因，而这种损失可归因于冠心病、糖尿病、中风和某些形式的癌症等疾病。目的:本研究旨在评估新西兰初级保健机构中智能手机应用程序处方对身体活动水平、健康收益(质量调整生命年[QALYs])和卫生系统成本的潜在影响。方法:使用比例多状态寿命表模型来估计体育活动水平的变化，并以3 %折现率预测2011年新西兰活着人口剩余寿命中qaly的健康收益和卫生系统成本。结果:模型干预估计获得了430个qaly(95%不确定性区间320-550)，在2011年新西兰人口的剩余生命周期中，净成本节省了2011年220万新西兰元(2011年150万美元)。 On a per capita basis, QALY gains were generally larger in women than in men and larger in M{\={a}}ori than in non-M{\={a}}ori. The health impact and cost-effectiveness of the intervention were highly sensitive to assumptions on intervention uptake and decay. For example, the scenario analysis with the largest benefits, which assumed a 5-year maintenance of additional physical activity levels, delivered 1750 QALYs and 2011 NZ {\$}22.5 million (2011 US {\$}15.1 million) in cost savings. Conclusions: The prescription of smartphone apps for promoting physical activity in primary care settings is likely to generate modest health gains and cost savings at the population level in this high-income country. Such gains may increase with ongoing improvements in app design and increased health worker promotion of the apps to patients. ", issn="1438-8871", doi="10.2196/31702", url="//www.mybigtv.com/2021/12/e31702", url="https://doi.org/10.2196/31702", url="http://www.ncbi.nlm.nih.gov/pubmed/34931993" }