|
|
|
| Health economics evaluation on rehabilitation mode of integrated traditional Chinese and western medicine applied in community |
| GU Lian-bin, JIANG Chang-ying, FAN Chun-lan
|
| Nanmatou Community Health Service Center of Pudong New Area,Shanghai 200125,China |
|
|
|
|
Abstract Objective To observe the advantages and disadvantages the combination of traditional Chinese medicine and western medicine in community health service centers through cost-effectiveness and cost-utility analysis.Methods Take community common diseases as an example,Knee Osteoarthritis（KOA）,Cervical Spondylosis（CS）and Lumbar Disc Herniation（LDH）were used. A total of 200 cases were selected for each disease,and 100 cases in each one group.In the treatment group,the rehabilitation mode was used.In the control group,comprehensive treatment of traditional Chinese medicine was adopted. We analyzed the cost-effectiveness and cost-utility,with VAS as the effect indicator and QALYs as the utility indicator. Results The VAS values of the knee osteoarthritis,cervical spondylosis and lumbar disc herniation in the treatment group were lower than those in the control group after 14 days,30 days and 6 months（P<0.05）. The QALYs values of them in the treatment group were lower than those in the control group after 14 days,30 days and 6 months（P<0.05）. The treatment group has a higher increase cost-effectiveness ratio（ICER）. Each get a unit effect can pay 222.56,297.13 and 1178.59 Yuan less . The treatment group has a higher increase cost-utility ratio（ICUR）. Each get a unit effect can pay 741.86,3178.60 and 2862.29 Yuan less . Conclusion Community application in rehabilitation mode of integrated traditional Chinese and western medicine can improve the treatment effect,and can reduce the cost of treatment and the loss of QALYs.
|
|
Received: 18 August 2017
Revised: 25 October 2017
Published: 01 January 1900
|
|
|
|
|
|
[1] 刘湘,邓元将,孙云才,等. 以病定技术中医适宜技术在石岩街道社区应用效果评价[J]. 中国医药科学,2016,6（12）：213-215,228.
[2] 中国康复医学会颈椎病专业委员会.中国颈椎病诊治与康复指南[M].北京：中医药科技出版社,2010：9.
[3] 中华医学会风湿病学分会. 骨关节炎诊断及治疗指南[J]. 中华风湿病学杂志,2010,14（6）：416-419.
[4] 中华医学会.临床诊疗指南：骨科分册[M].北京：人民卫生出版社,2009：97-99.
[5] 李腾辉,陈民. 玻璃酸钠膝关节腔注射联合骨瓜提取物穴位注射治疗Kellgren -Lawrence Ⅲ、Ⅳ级膝骨关节炎的临床研究[J]. 中医正骨,2016,28（4）：12-15.
[6] 莫文. 施氏十二字养生功防治颈椎病技术[J]. 中国乡村医药,2016,23（7）：86-88.
[7] 官海静,徐菲,刘国恩. 基于EQ-5D量表的质量调整生命年计算方法探讨[J]. 中国卫生经济,2015,34（10）：5-8.
[8] 周挺,官海静,刘国恩,等. 基于EQ-5D量表的中国疾病人群生命质量系统评价[J]. 中国循证医学杂志,2016,16（2）：135-142.
[9] 徐菲,刘国恩,唐勇,等. 奇正消痛贴膏治疗急性腰扭伤的药物经济学评价[J]. 中国药物经济学,2014（8）：9-13.
[10] 张学斌,徐菲,刘国恩. 疏血通注射液治疗缺血性脑卒中药物经济学评价[J]. 中国药物评价,2016,33（2）：117-123.
[11] 张听雨,白玉龙. 膝骨关节炎及其康复治疗[J]. 上海医药,2017,38（1）：19-24.
[12] 杨新文,朱远熔,白跃宏,等. 上海市徐汇区颈椎病患病情况调查分析[J]. 中国康复,2011,26（2）：101-102.
[13] SAMINI F,GHAREDAGHI M,KHAJAVI M,et al. The etiologies of low back pain in patients with lumbar disk herniation[J]. Iran Red Crescent Med J,2014,16（10）：e15670.
[14] 唐晓梅,姚美华,陈国平. 农村糖尿病患者生活质量评价研究[J]. 浙江预防医学,2015,27（5）：458-461.
[15] 曹卉娟,邢建民,刘建平. 视觉模拟评分法在症状类结局评价测量中的应用[J]. 中医杂志,2009,50（7）：600-602.
[16] 张洁,沈晔,黄谷. 灸法结合膝关节康复锻炼操治疗膝骨关节炎临床疗效观察[J]. 针灸临床杂志,2015,31（8）：7-9. |
| No related articles found! |
|
|
|
|
