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体医结合项目的经济学评价现况分析

谭硕源 蔡睿安 彭德荣 石建伟

谭硕源, 蔡睿安, 彭德荣, 石建伟. 体医结合项目的经济学评价现况分析[J]. 中华全科医学, 2023, 21(8): 1267-1270. doi: 10.16766/j.cnki.issn.1674-4152.003099
引用本文: 谭硕源, 蔡睿安, 彭德荣, 石建伟. 体医结合项目的经济学评价现况分析[J]. 中华全科医学, 2023, 21(8): 1267-1270. doi: 10.16766/j.cnki.issn.1674-4152.003099
TAN Shuoyuan, CAI Ruian, PENG Derong, SHI Jianwei. Status quo and analysis of economic evaluation of integrated sports and medicine[J]. Chinese Journal of General Practice, 2023, 21(8): 1267-1270. doi: 10.16766/j.cnki.issn.1674-4152.003099
Citation: TAN Shuoyuan, CAI Ruian, PENG Derong, SHI Jianwei. Status quo and analysis of economic evaluation of integrated sports and medicine[J]. Chinese Journal of General Practice, 2023, 21(8): 1267-1270. doi: 10.16766/j.cnki.issn.1674-4152.003099

体医结合项目的经济学评价现况分析

doi: 10.16766/j.cnki.issn.1674-4152.003099
基金项目: 

上海市科委科技创新行动计划软科学项目 22692107200

上海市卫生健康委员会卫生行业临床研究专项立项面上项目 201940052

详细信息
    通讯作者:

    石建伟,E-mail:shijianwei_amy@126.com

  • 中图分类号: R197.322

Status quo and analysis of economic evaluation of integrated sports and medicine

  • 摘要: 《“健康中国2030”规划纲要》明确提出,要“推动形成体医结合的疾病管理与健康服务模式”,伴随国家政策层面对体医结合的大力推进,我国各地日益重视体医结合项目的有关实践。虽然体医结合项目已逐渐开始落实,但囿于客观经济学评价的缺失,致使医保支撑证据不足,可推广性大为受限。本文系统回顾了国内外已有体医结合项目应用于疾病治疗及健康维护相关目的的经济学评价案例,发现评价项目主要针对有氧运动、抗阻训练、太极拳、足球、组合运动(有氧、力量、平衡性、柔韧性训练)等基础运动项目,并且当前体医结合项目的经济学评价以成本-效果分析为主,多以质量调整生命年和特定疾病的临床指标为健康产出,剖析得到我国当前体医结合项目的经济学评价研究瓶颈, 包括:缺乏针对同一研究目的,相同视角下成本核算、健康产出指标的统一规范;尚未对体医结合项目的干预时长和研究时限进行统一;缺乏对项目运动强度的科学性评估;以质量调整生命年为健康产出的核算方法存在一定程度的应用受限等。综合当前我国体医结合项目现况及上述问题,提出相关建议:在进行体医结合项目的经济学评价时,应加强真实世界多元化数据的收集,利用健康信息大数据改良经济学模型,并强化其在体医结合项目评价中的应用。

     

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出版历程
  • 收稿日期:  2022-08-06
  • 网络出版日期:  2023-09-13

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