儿童血管迷走性晕厥诊断程序的卫生经济学评价  

An analysis of cost-effectiveness of diagnostic approaches to vasovagal syncope in children.

作　　者：杨园园[1] 陈建军[1] 洪黛玲[1] 张清友[1] 杜军保[1] 

机构地区：[1]北京大学第一医院儿科

出　　处：《中国实用儿科杂志》2006年第2期96-98,共3页Chinese Journal of Practical Pediatrics

基　　金：首都医学发展基金资助(2002-3037);国家十五攻关计划(2004BA720A10)

摘　　要：目的对儿童血管迷走性晕厥(VVS)的传统诊断程序与新诊断程序进行卫生经济学评价。方法采用回顾分析方法,根据不同的诊断程序(即传统诊断程序和新诊断程序),将1995年1月至2005年5月北京大学第一医院儿科确诊的81例VVS患儿分为2组,分别计算其就诊费用、检查费用、住院日、确诊日等,运用经济学最小成本分析法进行评价。结果新诊断程序的平均就诊费用比传统诊断程序少耗费1668.80元;新诊断程序的平均就诊检查费用比传统诊断程序少耗费1413.30元。结论新诊断程序对确诊儿童血管迷走性晕厥具有良好的经济学效益,值得临床推广。Objective This study aimed to compare and discuss the economic value of the traditional and new diagnosis approach to VVS in children. Methods A total of 81 children diagnosed as VVS were divided into two groups according to the different diagnostic approaches. The costs of hospitalization and diagnostic testings, and hospital stay were analysed. Data was evaluated by using the cost minimization analysis. Results The cost of hospitalization per patient by the new diagnostic approach was 825.97 yuan RMB, which was less than that of the traditional diagnostic approach （2494.77 yuan RMB）, and the cost of diagnostic testings per patient were 645.61 and 2058. 85 yuan RMB, respectively. Conclusion Compared to the traditional diagnostic approach to VVS in children,the new diagnostic approach-has good economic value,which should be popularized in clinical practice.

关 键 词：血管迷走性晕厥 诊断 经济学 

分 类 号：R72[医药卫生—儿科]