Objective:To analyze the cost-effectiveness of hypertension program of the National Essential Public Health Serv-ices(EPHS)in China,and to provide further decision-making foundation.Methods:Constructed a decision tree-Markov model to calculate the outcome of 100000 hypothetical hypertensive patients under EPHS or not under EPHS.Based on the difference of blood pressure and relative risk of cardiovascular disease,cost-effectiveness was conducted to analyze the inclusion of EPHS.Results:In a cohort analysis of 100000 hypertensive patients,comparing to those are not under EPHS,people under EPHS would reduce 8725 deaths and 3485 cardiovascular events.The incremental cost-effectiveness ratio(ICER)was ¥8586.92 per quality-adjusted life years(QALYs)and ICER was less than 1 times gross domestic product(GDP).Compared with people who are not under EHPS,ICER from low to high were ¥ 8039.64,8125.72,8683.76 and 10629.96 per QALYs for male patients aged 35-59,female patients aged 35-59,female patients aged more than 60 years old,and male patients aged more than 60 years old.Sensitivi-ty analysis revealed that treatment cost of cardiovascular diseases,intervention cost of EPHS and relative risk of Stroke had a great impact on the ICER.Conclusion:EPHS is cost-effective and can decrease the incidence of cardiovascular disease and mortality in hypertensive patients,while improving patient's quality of life.
关键词
国家基本公共卫生服务/健康管理/高血压/成本效果分析
Key words
National Essential Public Health Service/Health Management/Hypertension/Cost-effectiveness Analysis
维普
万方数据