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目的了解贵州省内农村癫痫项目覆盖地区参与管理治疗和自行治疗的癫痫患者在治疗后,费用和生存质量改善方面的情况,为管理治疗癫痫的后期成本投入提供科学依据。方法采用QOLIE-31量表收集2组癫痫患者的生存质量情况,并计算改善的QALY值,依据卫生经济学的分析方法,计算其成本效用。结果经比较,项目组与非项目组的各项指标均无统计学差异,具有较好的比较性。项目组平均QALY为30.14,非项目组为17.62,QALY的改善主要集中在中青年癫痫患者;项目组平均改善1个QALY需要20 903.8元,非项目组为24 201.4元,项目组人均成本效用比为34.10,而非项目组为136.73。结论农村癫痫防治管理项目在提高农村癫痫患者的生存质量方面具有经济优势,作为一项惠民政策,应该逐步推广综合干预模式,为其他农村综合防治项目提供参考。
Objective To understand the improvement of cost and quality of life of patients with epilepsy who participated in the management and self-treatment of rural epilepsy in rural areas of Guizhou province, and provide a scientific basis for the management of post-epileptic cost. Methods QOLIE-31 scale was used to collect the quality of life of two groups of patients with epilepsy and to calculate the improved QALY value. According to the analysis method of health economics, the cost utility was calculated. Results By comparison, the indicators of the project group and the non-project group showed no significant difference and had better comparability. The average QALY of the project team was 30.14 and that of the non-project team was 17.62. The improvement of QALY mainly focused on the middle-aged and young people with epilepsy. The project team averaged 20 903.8 yuan for one QALY improvement and 24 201.4 yuan for the non-project team. The cost- 34.10 instead of 136.73 for the project team. Conclusion The rural epilepsy management project has economic advantages in improving the quality of life of patients with epilepsy in rural areas. As a Huimin policy, it is necessary to gradually promote the comprehensive intervention model to provide reference for other rural comprehensive prevention and control projects.