Resource costs, health outcomes and cost-effectiveness in stroke care: Evidence from the Oxford Vascular Study

中风等脑血管疾病的死亡率、致残率和医疗费用都很高。然而，缺乏关于它们的成本和结果的信息，而这些信息对于NHS做出准确的决定至关重要。在我的博士学位中，中风和短暂性脑缺血发作(TIA)的成本和结果是使用牛津郡进行的一项大型研究的数据估计的，TIA类似于非常轻微的中风。我的工作还评估了影响患者生活质量、残疾和NHS费用的因素。结果表明，预防进一步的中风降低了NHS的费用，并提高了患者的生活质量。然而，由于短暂性脑缺血发作或轻微中风后不久再次中风的风险很高，需要及时预防进一步的事件才能有效。然而，情况并非如此，因为患者往往需要等待14天以上才能接受评估和治疗。我工作的最后部分评估了对这类患者进行更快的临床评估和治疗的成本和结果。这一奖项将允许我传播我的博士论文的结果。

Cerebrovascular disorders, such as strokes, have high mortality, disability and healthcare costs. However, there is a lack of information on their costs and outcomes, information that is vital in order for the NHS to make accurate decisions. In my doctorate the costs and outcomes of stroke and transient ischaemic attacks (TIA), which are similar to very minor strokes, were estimated using data from a large study undertaken in Oxfordshire. My work also estimated the factors affecting patients‘ quality of life, disability, and costs to the NHS. Results showed that the prevention of further strokes decreased NHS costs and improved patients‘ quality of life. However, with a high risk of suffering another stroke shortly after TIA or minor stroke, prevention of further events needs to be timely in order to be effective. This is not the case, however, as patients tend to wait more than 14 days to be assessed and treated. The final part of my work evaluated the costs and outcomes of faster clinical assessment and treatment for such patients. This award would allow me to disseminate the results of my doctorate thesis.