TY - JOUR AU - Jiang, Xinchan AU - Ming, Wai-Kit AU - You, Joyce HS PY - 2019 DA - 2019/06/17 TI -数字健康干预对心血管疾病管理的成本效益:系统回顾乔- J地中海互联网Res SP - e13166六世- 21 - 6千瓦-远程医疗KW -心血管疾病KW -中风KW -心脏衰竭KW -心肌梗死KW -心脏病KW -成本效益KW -医疗经济学KW -决策建模千瓦系统回顾AB -背景:随着信息技术和移动互联网的发展,数字卫生干预措施(化)是提高心血管疾病的保健(心血管病)。使用基于决策分析模型的卫生技术评估方法研究了DHIs对心血管疾病成本效益管理的影响。目的:本研究的目的是对基于决策分析模型的研究进行系统回顾，评估DHIs对心血管疾病管理的成本效益。方法:2001 - 2018年在Medline、Embase、护理和相关健康文献累计索引、PsycINFO、Scopus、Web of Science、review and Dissemination Center和Institute for IEEE Xplore进行文献综述。符合以下标准的研究被纳入:(1)英文文章，(2)促进或提供临床干预并对患者心血管状况产生影响的DHIs，(3)对心血管疾病DHIs的健康经济结果进行建模的研究，(4)有一个比较评估组的研究，以及(5)全面的经济评估，包括成本-效果分析、成本-效用分析、成本-效益分析和成本-后果分析。收集的主要结果是DHIs的成本效益，以每额外质量调整生命年(QALY)的增量成本表示。使用综合健康经济评估报告标准评估每个纳入研究的质量。结果:共有14项研究符合规定的标准并被纳入综述。在纳入的研究中，心衰(7/ 14,50 %)和中风(4/ 14,29 %)是DHIs处理的两种最常见的心血管疾病。 A total of 9 (64%) studies were published between 2015 and 2018 and 5 (36%) published between 2011 and 2014. The time horizon was ≤1 year in 3 studies (21%), >1 year in 10 studies (71%), and 1 study (7%) did not declare the time frame. The types of devices or technologies used to deliver the health interventions were short message service (1/14, 7%), telephone support (1/14, 7%), mobile app (1/14, 7%), video conferencing system (5/14, 36%), digital transmission of physiologic data (telemonitoring; 5/14, 36%), and wearable medical device (1/14, 7%). The DHIs gained higher QALYs with cost saving in 43% (6/14) of studies and gained QALYs at a higher cost at acceptable incremental cost-effectiveness ratio (ICER) in 57% (8/14) of studies. The studies were classified as excellent (0/14, 0%), good (9/14, 64%), moderate (4/14, 29%), and low (1/14, 7%) quality. Conclusions: This study is the first systematic review of decision analytic model–based cost-effectiveness analyses of DHIs in the management of CVDs. Most of the identified studies were published recently, and the majority of the studies were good quality cost-effectiveness analyses with an adequate duration of time frame. All the included studies found the DHIs to be cost-effective. SN - 1438-8871 UR - //www.mybigtv.com/2019/6/e13166/ UR - https://doi.org/10.2196/13166 UR - http://www.ncbi.nlm.nih.gov/pubmed/31210136 DO - 10.2196/13166 ID - info:doi/10.2196/13166 ER -