COST-EFFECTIVENESS PERSPECTIVES IN CORONARY HEART-DISEASE

被引：33

作者：

GOLDMAN, L ^{[1
]}

机构：

[1] BETH ISRAEL HOSP,CONSOLIDATED DEPT MED,DIV CLIN EPIDEMIOL,BOSTON,MA 02215

来源：

AMERICAN HEART JOURNAL | 1990年 / 119卷 / 03期

关键词：

D O I：

10.1016/S0002-8703(05)80054-7

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In the United States there has been a dramatic decrease in age-adusted coronary heart disease (CHD) mortality during the last 20 years. This article investigates the reasons for this decline and concludes that most of the decline in CHD has been the result of life-style changes, particularly reduction in serum cholesterol and cigarette smoking. The CHD Policy Model is used to compare the effect of a targeted versus a population-wide program of cholesterol reduction. On the basis of these projections, population-wide interventions are considered an important part of cholesterol reduction programs. The article also assesses the cost-effectiveness of selected cardiac interventions, for example, screening exercise tolerance tests, coronary care units, thrombolysis in acute myocardial infarction, and β-blockers in patients after myocardial infarction. Cost-effectiveness analysis is seen to be crucial as medical costs escalate and the population at risk from CHD increases. © 1990.

引用

页码：733 / 740

页数：8

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