Cost Effectiveness Analysis On Chinese/Western Comprehensive Medication Schemes To Treat Apoplexy Involving The Meridians Main-and-collateral-channels For Secondary Rehabilitation

Objective:Research on the effectiveness of Chinese/western comprehensive medication schemes on apoplexy Involving the meridians main-and-collateral-channels for secondary rehabilitation;use research techniques and tools of health economy to analyze cost and effectiveness on the direct medication expenses needed for treatment of stroke by the2types of schemes. Make suggestions to improve treatment plan for stroke based on the research findings.Methods:Two multi-function hospitals at similar scale in Harbin were selected, one of them is multi-function Chinese medicine hospital while the other is multi-function western medicine hospital. Clinical research was conducted in these2hospitals.42patients suffering apoplexy Involving the meridians main-and-collateral-channels from each recovery center of the hospitals who were at secondary rehabilitation during the entire comprehensive recovery treatment were picked up as samples via random sampling. The data was found comparable after calculation and analysis as no significant divergence was found (P>0.05) between the2selected grounds receiving2different types of comprehensive treatment in terms of regular information and FCA statistical evaluation. The sample patients under2types of comprehensive recovery plan were tracked, observed and studied for60days consistently to follow the change of their FCA assessment and their direct medication expenses, find out different types of clinical recovery plans used to treat stroke by studying historical documents and collecting information on ways being practiced currently,and finally analyze the cost and effectiveness of the2schemes.Results:FCA figures of the2groups under Chinese/western treatment schemes were both raised. The difference of FCA rating between the2groups was minor (P>0.05) after60days treatment. As of the difference of FCA before and after the treatment for each of the group, significant gap was found (P<0.05) between patients under2different types of treatment. After60days of tracking, it was revealed that the total cost of direct medication of the stroke patients under2types of treatment schemes, and the direct cost spending on each FCA rating raise are as follows:Total direct cost of Chinese medicine comprehensive recovery treatment scheme reached21909.16±3252.87RMB and630.66±397.96RMB; total direct cost of western medicine comprehensive recovery treatment scheme were24521.00±3587.78RMB and783.78±374.12RMB.Conclusion:Chinese medicine comprehensive treatment scheme has relatively better effectiveness and lower cost comparing with the western medication in the secondary rehabilitation of apoplexy Involving the meridians main-and-collateral-channels. Therefore it has better economic effectiveness and should be applied and popularized broadly.