Analysis of the cost-effectiveness of mammography promotion by volunteers in rural communities

Analysis of the cost-effectiveness of mammography promotion by volunteers in rural communities
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DOI:
10.1177/109019802237942
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发表时间:
2002-12-01
影响因子:
4.2
通讯作者:
Urban, N
Urban, N
中科院分区:
医学3区
文献类型:
--
作者:
Andersen, MR;Hager, M;Urban, N

文献摘要

被引文献

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乳腺癌筛查社区试验评估了社区志愿者团体在RU地区使用三种不同干预方法进行乳腺X线摄影推广的有效性和成本效益:个体咨询。社群活动,以及包括两者的综合干预。计算干预措施的社会成本,并与有效性措施结合使用,以计算每增加一次乳房X光检查的成本和每年挽救生命的成本的成本效益。收集和使用成本信息,以评估社区干预措施的成本效益的方法进行了说明。社群活动干预被认为是最具成本效益的,在社区中每增加一个常规乳房X线摄影用户大约2 000美元。与乳房X光检查推广相关的每年挽救生命的成本约为每年挽救生命56 000美元。探索性分析表明,促进乳腺X射线摄影使用的最具成本效益的方法可能因目标人群而异。
The Community Trial of Breast Cancer Screening Pro motion assessed the effectiveness and cost-effectiveness of mammography promotion by community volunteer groups in ru rat areas using three different intervention approaches: individual counseling. community activities, and a combined intervention including both. Societal costs of the interventions were calculated and used in conjunction with measures of effectiveness to calculate cost-effectiveness in terms of cost per additional mammogram and cost per year of life saved. Methods of collecting and using cost information to assess the cost-effectiveness of community interventions are described. The Community Activities intervention was found to be the most cost-effective, at approximately $2.000 for each additional regular mammography user in the community. The cost per year of life saved associated with mammography promotion was approximately $56,000 per year of life saved. Exploratory analyses suggest that the most cost-effective method of promoting mammography use may vary with the target population.