Economic analysis of a pragmatic randomised trial of home visits by a nurse to elderly people with hypertension in Mexico
Economic analysis of a pragmatic randomised trial of home visits by a nurse to elderly people with hypertension in Mexico
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DOI：
10.1590/s0036-36342002000100002
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发表时间：
2002-01-01
期刊：
影响因子：
--
通讯作者：
Reyes-Frausto, Sandra
中科院分区：
文献类型：
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作者：
García-Peña, Carmen;Thorogood, Margaret;Reyes-Frausto, Sandra
客观的。分析护士对老年人进行家访的干预措施与家庭医疗单位提供的常规护理的成本和效果。材料和方法。对墨西哥社会保障研究所 (Instituto Mexicano del Seguro Social, IMSS) 覆盖的 4 777 名 60 岁及以上受试者样本进行了筛选。收缩压和/或舒张压水平高于或等于 160/90 mm Hg 的患者被随机分配到干预组或对照组。干预措施包括护士上门拜访，为参与者提供健康和生活方式建议。经济评估是从卫生服务和患者的角度考虑的。直接和间接成本按增量计算。有效性以每减少一毫米汞的成本来衡量。结果。 345 名参与者被分配到干预组，并与 338 名对照组进行比较。干预期结束时，与对照组相比，收缩压平均变化为 3.31 mm Hg (95% Cl 6.32,0.29；p=0.03)。舒张压差异为 3.67 (95% Cl 5.22, 2.12；p
Objective. To analyse the costs and the effectiveness of an intervention of home visits made by nurses to elderly people versus usual care given by the family medicine units. Material and Methods. A sample of 4 777 subjects aged 60 years and over covered by the Mexican Institute of Social Security (Instituto Mexicano del Seguro Social, IMSS) were screened. Those with a systolic and/or diastolic blood pressure level higher or equal than 160/90 mm Hg were randomly allocated to the intervention or control groups. The intervention consisted of visits at home by nurses who gave health and lifestyle advice to the participants. The economic evaluation was considered from a health services and patient perspective. Direct and indirect costs were calculated as incremental. Effectiveness was measured in terms of cost per millimetre of mercury reduced. Results. Three hundred and forty five participants were allocated to the intervention group and compared with 338 controls. At the end of the intervention period the difference in the mean change in systolic blood pressure was 3.31 mm Hg (95% Cl 6.32,0.29;p=0.03) comparing with the control group. In diastolic blood pressure the difference was 3.67 (95% Cl 5.22, 2.12; p