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背景:幽门螺旋杆菌筛查能有效地降低人群的死亡率和发病率。目的:在健康照顾费用方面探讨幽门螺旋杆菌相关性疾病人群幽门螺旋杆菌筛查的成本和效益。材料与方法:电脑决策分析比较了两种方案:1.对总体进行幽门螺旋杆菌筛查,呈阳性者给予治疗。2.对总体不进行幽门螺旋杆菌筛查,只有出现有关的临床症状才给予检查和治疗。模型对这两种方案都估算了调整后的从筛查到死亡所累积消耗的与幽门螺旋杆菌相关的健康照顾费用。基线病例估计15—45岁组被筛查者的成本-效益。结果:筛查组每个病例健康照顾费用比未筛查组增加了26美元。其中45岁年龄组健康照顾费用增加的最少,在这组中幽门螺旋杆菌筛查显示是节省费用的。结论:幽门螺旋杆菌筛查对大龄人群效果较好。
Background: Screening for H. pylori can effectively reduce mortality and morbidity in the population. Objective: To explore the cost and effectiveness of H. pylori screening in H. pylori-related diseases in terms of health care costs. Materials and Methods: Computer-based decision analysis compared two options: 1. Screening for H. pylori population as a whole and positive treatment. 2. For the overall screening for H. pylori, only relevant clinical symptoms are given for examination and treatment. The model estimates the cumulative cost of H. pylori-related health care from cumulative screening to death for both options. Baseline cases estimate the cost-effectiveness of screened people in the 15-45 year old group. Results: The cost of health care for each case in the screening group increased by $26 compared with the unscreened group. The 45-year-old age group had the least increase in health care costs. Screening for H. pylori in this group showed cost savings. Conclusion: Screening for Helicobacter pylori is better for older people.