Phân tích chi phí - hiệu quả của việc sử dụng máy trợ thính ở người có biểu hiện lão thính tại Bệnh viện Xuyên Á thành phố Hồ Chí Minh năm 2021

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Tác giả: Đình Công Dương, Kim Tưởng Nguyễn, Nam Hà Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y Dược học Phạm Ngọc Thạch, 2023

Mô tả vật lý: tr.90

Bộ sưu tập: Metadata

ID: 339342

Thêm vào giỏ Liên kết toàn văn

- Đặt vấn đề: Lão thính là một trong những nguyên nhân làm giảm chất lượng cuộc sống ở người lớn tuổi. Y học hiện tại chưa thể điều trị được bệnh lý lão thính nên giải pháp duy nhất là phải đeo máy trợ thính. Thực tế chỉ có 17% số bệnh nhân lão thính tiếp cận được với phương pháp này, nguyên nhân là do còn nghi ngờ tính hiệu quả và chi phí máy trợ thính còn cao.- Mục tiêu: Xác định mức độ chi phí - hiệu quả của việc sử dụng máy trợ thính ở những bệnh nhân có biểu hiện lão thính.- Phương pháp: Nghiên cứu mô tả hàng loạt ca ở những bệnh nhân >
18 tuổi có biểu hiện lão thính đến khám tại khoa Tai Mũi Họng bệnh viện Xuyên Á TP.HCM từ tháng 10/2020 đến tháng 6/2021. Số liệu được thu thập bằng bộ câu hỏi soạn sẵn. Chi phí bao gồm: chi phí trực tiếp và gián tiếp. Hiệu quả tính theo QALY. Phân độ mức độ chi phí - hiệu quả theo hướng dẫn của WHO.- Kết quả: Nghiên cứu khảo sát 82 bệnh nhân mang máy trợ thính, nam chiếm 58,5% và nhóm tuổi từ 71 - 80 tuổi chiếm đa số (35%). Phần lớn bệnh nhân làm nghề tự do (54%). Trung bình tổng chi phí một bệnh nhân sử dụng máy trợ thính là 20.567.658 đồng. Tỉ lệ cải thiện chất lượng cuộc sống 95% và sự cải thiện chất lượng cuộc sống trước và sau khi đeo máy trợ thính có ý nghĩa thống kê (p = 0,001). Trung bình hiệu quả đạt được khi đeo máy trợ thính là 2,61 QALY. Tỉ số chi phí- hiệu quả tăng thêm (ICER) là 9.059.942 đồng/ QALY. Mức độ chi phí - hiệu quả khi sử dụng máy trợ thính theo WHO: rất chi phí - hiệu quả. - Kết luận: Việc sử dụng máy trợ thính để tăng chất lượng cuộc sống ở người lão thính đạt mức độ “rất chi phí - hiệu quả”.Abstract- Background: Presbycusis is one of the causes of reducing quality of life in the elderly. Presbycusis patients cannot be treated by the medicine, except wearing hearing aid. However, there is only 17% of presbycusis patients to access this method, due to high cost of device.- Objectives: To determine the cost - effectivenessthreshold of hearing aid using in presbycusis patients.- Methods: This isa descriptive study of a series of cases in patients >
18 years old with symptoms of presbycusis who came to the Otolaryngology Department, Xuyen A Hospital, Ho Chi Minh City from October 2020 to June 2021. Data were collected by using questionnaires. Total costs include: direct and indirect costs. Efficiency in terms of QALY. Cost - effectiveness grading according to WHO guidelines.- Results: In 82 presbycusis patients wearing hearing aid, 58.5% are men and the age group from 71 - 80 years old accounted for the majority (35%). The majority of patients are self - employed (54%). The average total cost per patient using hearing aid is 20,567,658 VND. The rate of improvement in quality of life is 95% and the improvement in quality of life before and after wearing hearing aid were statistically significant (p = 0,001). The average effectiveness achieved with hearing aid was 2.61 QALY. The incremental cost - effectiveness ratio (ICER) is 9,059,942 VND/QALY. Cost - effectivenessthreshold of using hearing aid according to WHO guidelines: high cost - effectiveness threshold.- Conclusion: Using hearing aid to improve the quality of life in presbycusis patients is “high cost - effectiveness threshold’’. DOI: 10.59715/pntjmp.1.3.12

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