Quantifying the Economic Impact on Sepsis Patient Care Pathway by Point-of-Care Testing

该项目的总体目标是建立一个经济模型，以了解在脓毒症患者的管理中引入即时护理（POC）诊断测试的预期效益和改善结果，重点关注使用这种模型来预测急诊部门即时护理（POC）测试的成本效益的可行性。脓毒症、严重脓毒症和脓毒性休克的死亡率高得令人无法接受，而且发病率还在不断增加，对医疗资源的负担越来越大。POC测试的使用通常被视为一种相对廉价的技术，可以改善后续的管理选择，从而更好地利用有限的医疗资源。POC测试的预期影响是对死亡率和与健康相关的生活质量，但也将产生相当大的经济影响。服务专员在决定是否资助POC试验时需要信息，以帮助他们了解该试验在现有护理途径中的地位、对患者护理途径的影响以及由此产生的成本和健康效益。

The overall aim of the project is to develop an economic model to understand the expected benefits and improved outcomes associated with introducing a point-of-care (POC) diagnostic test into the management of patients presenting with sepsis, focussing on the feasibility of using such modelling to predict the cost effectiveness of a POC test in the emergency department. Sepsis, severe sepsis and septic shock carry an unacceptably high mortality, and the incidence is increasing, such that they are becoming an increasingly large burden on healthcare resources. The use of a POC test is often viewed as a relatively inexpensive technology that can improve subsequent management options and thus better use of limited healthcare resources. The expected impact of a POC test is on mortality and health-related quality of life but also will have considerable economic impact. Service commissioners deciding whether to fund a POC test need information to help them understand the place of the test in the existing care pathway, the impact on patient care pathways and the consequent cost and health benefits.