阅读障碍干预的经济评价

IF 1.9 3区 教育学 Q1 EDUCATION, SPECIAL
Dyslexia Pub Date : 2022-10-29 DOI:10.1002/dys.1728
Kristina Moll, Beatrice J. Georgii, Ralph Tunder, Gerd Schulte-Körne
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引用次数: 0

摘要

在许多国家,公共卫生保健不承担干预费用。决定是否涵盖干预措施的一个关键基础是分析干预措施的收益和成本之间的关系,并量化相应的成本。在这项研究中,计算了成本效用分析,以调查个性化阅读障碍干预的成本,同时量化了36名阅读障碍患者在健康相关生活质量方面的益处。此外,利用以往研究和官方统计的课堂重复率、学业成绩和失业率等信息,估计了未经治疗的阅读障碍对社会的教育成果和成本。在所有的生活质量测量中都发现了中等效应量的生活质量的显著提高。生活质量的提高是特定领域的,因此特别发生在那些受学习障碍影响的领域。成本效用比为每质量调整生命年(QALYs) 9782欧元,与类似的治疗形式,如语言治疗一致。在德国人群中,未经治疗的阅读障碍导致的生产力损失估计为班级重复和由于较低的学校学位而导致的收入减少。成本效用分析和相应成本的计算表明,阅读障碍干预是具有成本效益的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Economic evaluation of dyslexia intervention

Economic evaluation of dyslexia intervention

In many countries, intervention costs are not covered by public health care. A critical basis for deciding whether an intervention is covered or not is to analyse the relation between benefits and costs of the intervention, and to quantify the consequential costs. In this study, a cost-utility analysis was computed to investigate the costs of individualized dyslexia intervention while quantifying the benefit in terms of health-related quality of life in a sample of 36 individuals with dyslexia. In addition, educational outcomes and costs of untreated dyslexia for the society were estimated using information for class repetition, school success, and unemployment rates from previous studies and official statistics. A significant increase in quality of life with medium effect sizes was found across all quality-of-life measures. Increases in quality of life were domain-specific, thus occurring specifically in those domains that are affected by learning disorders. The cost-utility ratio was 9,782 Euros per quality adjusted life years (QALYs), which is in line with similar therapy forms, such as speech therapy. The loss of productivity for untreated dyslexia in the German population was estimated for class repetition and reduced income due to lower school degrees. The cost-utility analysis and the calculation of consequential costs suggest that the dyslexia intervention is cost-effective.

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来源期刊
Dyslexia
Dyslexia Multiple-
CiteScore
3.90
自引率
9.10%
发文量
27
期刊介绍: DYSLEXIA provides reviews and reports of research, assessment and intervention practice. In many fields of enquiry theoretical advances often occur in response to practical needs; and a central aim of the journal is to bring together researchers and practitioners in the field of dyslexia, so that each can learn from the other. Interesting developments, both theoretical and practical, are being reported in many different countries: DYSLEXIA is a forum in which a knowledge of these developments can be shared by readers in all parts of the world. The scope of the journal includes relevant aspects of Cognitive, Educational, Developmental and Clinical Psychology Child and Adult Special Education and Remedial Education Therapy and Counselling Neuroscience, Psychiatry and General Medicine The scope of the journal includes relevant aspects of: - Cognitive, Educational, Developmental and Clinical Psychology - Child and Adult Special Education and Remedial Education - Therapy and Counselling - Neuroscience, Psychiatry and General Medicine
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