荷兰初级护理中尿失禁治疗的成本效益分析数据集

数据集获取（Figshare）

• 源站标题：Cost-Effectiveness of Including a Nurse Specialist in the Treatment of Urinary Incontinence in Primary Care in the Netherlands
• DOI：10.1371/journal.pone.0138225
• 发布日期：2015-10-01
• 文件数：2 个
• 文件总体积：41.84 KB
• 源站页面：https://plos.figshare.com/articles/dataset/_Cost_Effectiveness_of_Including_a_Nurse_Specialist_in_the_Treatment_of_Urinary_Incontinence_in_Primary_Care_in_the_Netherlands_/1562100

命令行下载

curl -L -o "S1_Appendix.docx" "https://ndownloader.figshare.com/files/2295994"
curl -L -o "S2_Appendix.docx" "https://ndownloader.figshare.com/files/2295995"

文件清单

• S1_Appendix.docx（14.65 KB）
• S2_Appendix.docx（27.19 KB）

文件总体积 41.84 KB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

Objective
Incontinence is an important health problem. Effectively treating incontinence could lead to important health gains in patients and caregivers. Management of incontinence is currently suboptimal, especially in elderly patients. To optimise the provision of incontinence care a global optimum continence service specification (OCSS) was developed. The current study evaluates the costs and effects of implementing this OCSS for community-dwelling patients older than 65 years with four or more chronic diseases in the Netherlands.
Method
A decision analytic model was developed comparing the current care pathway for urinary incontinence in the Netherlands with the pathway as described in the OCSS. The new care strategy was operationalised as the appointment of a continence nurse specialist (NS) located with the general practitioner (GP). This was assumed to increase case detection and to include initial assessment and treatment by the NS. The analysis used a societal perspective, including medical costs, containment products (out-of-pocket and paid by insurer), home care, informal care, and implementation costs.
Results
With the new care strategy a QALY gain of 0.005 per patient is achieved while saving €402 per patient over a 3 year period from a societal perspective. In interpreting these findings it is important to realise that many patients are undetected, even in the new care situation (36%), or receive care for containment only. In both of these groups no health gains were achieved.
Conclusion
Implementing the OCSS in the Netherlands by locating a NS in the GP practice is likely to reduce incontinence, improve quality of life, and reduce costs. Furthermore, the study also highlighted that various areas of the continence care process lack data, which would be valuable to collect through the introduction of the NS in a study setting.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0138225（source: https://plos.figshare.com/articles/dataset/_Cost_Effectiveness_of_Including_a_Nurse_Specialist_in_the_Treatment_of_Urinary_Incontinence_in_Primary_Care_in_the_Netherlands_/1562100）。