Economic evaluation of a primary care-based education programme for patients with osteoarthritis of the knee.
Economic evaluation of a primary care-based education programme for patients with osteoarthritis of the knee.
复制标题
针对膝骨关节炎患者的初级保健教育计划的经济评估。
DOI：
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发表时间：
1999
影响因子：
3.6
通讯作者：
J. Axford
中科院分区：
文献类型：
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作者：
J. Lord;C. Victor;P. Littlejohns;F. Ross;J. Axford
本研究是对针对膝骨关节炎患者的基于全科实践的护士主导的教育计划的经济评估。 OAK 研究未能证明一年后知识、关节炎管理自我效能或健康结果方面的改善。这些差异不仅在统计上不显着，而且方向也不一致。成本分析显示，随机接受教育计划的患者的成本显着增加。没有证据表明教育干预的费用可以通过随访期间其他卫生服务利用的减少来抵消。这一证据支持了这样的论点：基于一般实践的膝骨关节炎患者教育计划并不是对医疗资源的经济有效的利用。不过，在确认这一点之前，还需要进一步的证据。
This study is an economic evaluation of a general practice-based nurse-led education programme for patients with osteoarthritis of the knee. The OAK study failed to demonstrate improvements in knowledge, self-efficacy in arthritis management, or health outcomes after 1 year. Not only were the differences not statistically significant, they were not consistent in direction. The cost analysis showed a highly significant increase in costs for the patients randomised to receive the education programme. There was no evidence that the costs of the educational intervention were offset by reduced utilisation of other health services during the period of follow-up. This evidence lends support to contention that general practice-based patient education programmes for knee osteoarthritis are not a cost-effective use of healthcare resources. However further evidence is required before this can be confirmed.