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Autore principale:	Carmen García
Natura:	Artículo científico
Lingua:	en
Pubblicazione:	Instituto Nacional de Salud Pública 2002
Soggetti:	Salud Mexico elderly population cost effectiveness Key words: hypertension
Accesso online:	https://www.redalyc.org/articulo.oa?id=10644102
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Economic analysis of a pragmatic randomised trial of home visits by a nurse to elderly people with hypertension in Mexico Carmen García Margaret Thorogood David Wonderling Sandra Reyes Salud Mexico elderly population cost effectiveness Key words: hypertension Objective. To analyse the costs and the effectiveness of anintervention of home visits made by nurses to elderly peopleversus usual care given by the family medicine units. Materialand Methods. A sample of 4 777 subjects aged 60years and over covered by the Mexican Institute of SocialSecurity (Instituto Mexicano del Seguro Social, IMSS) werescreened. Those with a systolic and/or diastolic blood pressurelevel higher or equal than 160/90 mm Hg were randomlyallocated to the intervention or control groups. Theintervention consisted of visits at home by nurses who gavehealth and lifestyle advice to the participants. The economicevaluation was considered from a health services and patientperspective. Direct and indirect costs were calculated as incremental.Effectiveness was measured in terms of cost permillimetre of mercury reduced. Results. Three hundred andforty five participants were allocated to the intervention groupand compared with 338 controls. At the end of the interventionperiod the difference in the mean change in systolic bloodpressure was 3.31 mm Hg (95% CI 6.32, 0.29; p=0.03) comparingwith the control group. In diastolic blood pressurethe difference was 3.67 (95% CI 5.22, 2.12; p<0.001). Thetotal cost of the intervention was 101 901.66 pesos. The in-cost per patient was 34.61 pesos (US$3.78), (CI95% 34.44, 35.46). The cost-effectiveness ratios was 10.46pesos (US$1.14) for systolic (CI 95% 129.31, 5.51) and 9.43(US$1.03) for diastolic (CI 95% 19.90, 2.49). Conclusions.The reduction in blood pressure obtained may well justifythe small incremental cost of the intervention. The Englishversion of this paper is available too at: http://www.insp.mx/salud/index.htm 2002 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10644102 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.1 Vol.44

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// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

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