CAJ | 학술논문

目的研究2011年至2013年在天津开展的“社区糖尿病高危人群预警与健康管理体系建设”项目的卫生经济学效果.方法通过计算项目投入总成本、每例干预对象的干预成本和干预对象血糖转归取得的实际效果,对307名糖尿病高危人群开展健康管理,进行成本-效果分析,计算投入成本及人均干预成本,运用本研究成果和文献报道的资料推算在天津市广泛开展社区糖尿病高危人群健康管理的经济效益,进行成本-效益分析.连续变量进行配对t检验、分类变量进行配对列联表x2检验.结果每干预有效1人所需成本为人民币628元,干预后的年转归率下降5.3％,下降比率达到52.5％.成本-效益比为1:4.66.结论生活方式干预避免2型糖尿病发生的经济学意义非常显著.
목적 연구2011년지2013년재천진개전적“사구당뇨병고위인군예경여건강관리체계건설”항목적위생경제학효과.방법 통과계산항목투입총성본、매례간예대상적간예성본화간예대상혈당전귀취득적실제효과,대307명당뇨병고위인군개전건강관리,진행성본-효과분석,계산투입성본급인균간예성본,운용본연구성과화문헌보도적자료추산재천진시엄범개전사구당뇨병고위인군건강관리적경제효익,진행성본-효익분석.련속변량진행배대t검험、분류변량진행배대렬련표x2검험.결과 매간예유효1인소수성본위인민폐628원,간예후적년전귀솔하강5.3％,하강비솔체도52.5％.성본-효익비위1:4.66.결론 생활방식간예피면2형당뇨병발생적경제학의의비상현저.
Objective To estimate health economic effect of community fore-warning and health management system construction among high-risk diabetes persons in Tianjin.Methods We collected information of general cost of the program investment,the intervention cost and the actual effect of the blood glucose outcome for each participant,and estimated health cost effect.Three hundred and seven individuals with high risk of diabetes were enrolled to manage health.Cost-effect ratio,general cost and the intervention cost of each indicidual were calculated.We used above result and references data to estimate the health economic effect and cost-effect ratio for developing health management of the community diabetes high-risk population in the whole Tianjin.Paired t test and matched x2 test were used to analyze continuous variables and classified variables,respectively.Results The intervention cost for every participant was RMB 628 yuan.The intervention reduced the incidence of diabetes by 52.5％.The cost-effect ratio was 1: 4.66.Conclusion The economic effect of preventing or delaying type 2 diabetes by lifestyle intervention is very remarkable.