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

脑血管疾病，如中风，具有高死亡率，残疾和医疗保健费用。然而，缺乏关于其成本和结果的信息，这些信息对于NHS做出准确决策至关重要。在我的博士学位期间，中风和短暂性脑缺血发作（TIA）的成本和结果（TIA类似于非常轻微的中风）是使用牛津郡进行的一项大型研究的数据进行估计的。我的工作还估计了影响患者生活质量、残疾和NHS成本的因素。结果表明，预防进一步中风降低了NHS的成本，提高了患者的生活质量。然而，由于TIA或轻微卒中后不久再次发生卒中的风险很高，因此需要及时预防进一步的事件才能有效。然而，情况并非如此，因为患者往往要等待14天以上才能接受评估和治疗。我工作的最后一部分评估了对这些患者进行更快的临床评估和治疗的成本和结果。这个奖项将使我能够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.