北京邮电大学学报(社会科学版) ›› 2023, Vol. 25 ›› Issue (1): 40-49.doi: 10.19722/j.cnki.1008-7729.2022.0145

• 经济与管理 • 上一篇    下一篇

高血压普查管理策略对心脑血管病防治效果的卫生经济学评价

傅四保(1964—),男,内蒙古呼和浩特人,博士,副教授   

  1. 北京邮电大学 经济管理学院
  • 收稿日期:2022-11-02 出版日期:2023-02-28 发布日期:2023-02-28
  • 作者简介:傅四保(1964—),男,内蒙古呼和浩特人,博士,副教授

Health Economics Evaluation on Effect of Hypertension Census Management Strategy on Prevention and Treatment of Cardio-cerebrovascular Diseases

  1. School of Economics and Management, Beijing University of Posts and Telecommunications
  • Received:2022-11-02 Online:2023-02-28 Published:2023-02-28

摘要: 基于河南省试点数据,建立决策树-马尔可夫模型,对高血压普查管理策略下心脑血管疾病的健康—疾病—死亡的自然发展过程进行状态模拟,依据成本-效用分析方法对该策略进行卫生经济学评价。研究表明,该策略有效地提高了健康人群的比例,降低了患心脑血管疾病人群的比例,显著降低了心脑血管疾病患者的死亡率;该策略对农村人口效果更优,且该策略虽增加投入,却反而使高血压问题较严重的农村地区累计成本减少,经济性显著。分析发现,该策略对高血压普查管理的年机构成本的敏感性最强。为优化该策略的卫生经济学效用,还需部署提升河南省各县下属乡镇的高血压普查覆盖率、提高相关机构的工作效率、加大临床及药物投入、增强绿色通道建设并打造相关信息平台。

关键词: 高血压普查, 心脑血管疾病, 决策树-马尔可夫模型, 成本-效用分析

Abstract: Based on the pilot data in Henan province, the Decision Tree-Markov model is constructed to simulate the natural development process of health-disease-death of cardio-cerebrovascular diseases under the hypertension census management strategy, and the strategy is evaluated in terms of health economics according to the cost-utility analysis method. The research shows that the strategy effectively increases the proportion of healthy people, reduces the proportion of people suffering from cardio-cerebrovascular diseases, and significantly reduces the mortality of patients with cardio-cerebrovascular diseases. The strategy has better effect on rural people, and although the strategy increases investment, it will reduce the cumulative cost in rural areas with severe hypertension problems, which is significantly economical. The analysis shows that the strategy is most sensitive to the annual institutional cost. In order to optimize the health economics effectiveness of this strategy, it is also necessary to improve the coverage of hypertension census in areas with low administrative level, improve the work efficiency of relevant institutions, increase clinical and drug investment, strengthen the construction of green channels and build relevant information platforms. 

Key words:  hypertension census, cardio-cerebrovascular diseases, Decision Tree-Markov model, cost-utility analysis

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