500 LIFESAVING INTERVENTIONS AND THEIR COST-EFFECTIVENESS
500 LIFESAVING INTERVENTIONS AND THEIR COST-EFFECTIVENESS
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DOI：
10.1111/j.1539-6924.1995.tb00330.x
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发表时间：
1995-06-01
期刊：
影响因子：
3.8
通讯作者：
GRAHAM, JD
中科院分区：
文献类型：
--
作者：
TENGS, TO;ADAMS, ME;GRAHAM, JD
我们从公开的经济分析中收集了有关美国挽救生命干预措施的成本效益的信息。 “挽救生命的干预措施”被定义为降低特定目标人群过早死亡可能性的任何行为和/或技术策略。 我们将成本效益定义为每年挽救生命的干预措施的净资源成本。 为了提高通过不同方法得出的成本效益比的可比性，我们制定了固定的定义目标，并在必要和可行的情况下修订了已发布的估计，以实现这些目标。 确定的 587 项干预措施包括节省资源超过成本的干预措施，以及每年挽救生命的成本超过 100 亿美元的干预措施。 总体而言，每个挽救生命年的干预费用中位数为 42,000 美元。 医疗干预费用中位数为 19,000 美元/生命年；伤害减少 $48,000/生命年；毒素控制 2,800,000 美元/生命年。 提供了 500 多种挽救生命干预措施的成本/生命年比率和参考书目。
We gathered information on the cost-effectiveness of life-saving interventions in the United States from publicly available economic analyses. ''Life-saving interventions'' were defined as any behavioral and/or technological strategy that reduces the probability of premature death among a specified target population. We defined cost-effectiveness as the net resource costs of an intervention per year of life saved. To improve the comparability of cost-effectiveness ratios arrived at with diverse methods, we established fixed definitional goals and revised published estimates, when necessary and feasible, to meet these goals. The 587 interventions identified ranged from those that save more resources than they cost, to those costing more than 10 billion dollars per year of life saved. Overall, the median intervention costs $ 42,000 per life-year saved. The median medical intervention costs $ 19,000/life-year; injury reduction $ 48,000/life-year; and toxin control $ 2,800,000/life-year. Cost/life-year ratios and bibliographic references for more than 500 life-saving interventions are provided.