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메타분석을 이용한 임상영양서비스의 비용-효과성 평가
DC Field | Value | Language |
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dc.contributor.author | 남정모 | - |
dc.contributor.author | 박은철 | - |
dc.date.accessioned | 2020-09-04T02:02:15Z | - |
dc.date.available | 2020-09-04T02:02:15Z | - |
dc.date.issued | 2003-06 | - |
dc.identifier.issn | 2288-3886 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/178764 | - |
dc.description.abstract | Objectives: A meta-analysis of the literatures was conducted to evaluate the cost-effectiveness of medical nutrition therapy by dietitians. Methods : The 30 studies were identified from a computerized search of published research on MEDLINE, Science-Direct and the PQD database until May, 2002 and a review of reference lists. The main search terms were 'dietitian', 'dietary intervention', 'nutrition intervention', 'cost', 'cost-effectiveness' and 'cost-benefit analysis'. The subgroup analysis was performed by publication year, study design, intervention provider, type of patient (in/out-patient) and type of cost (total cost/direct cost). Two reviewers independently selected trials for inclusion, assessed the quality and extracted the data. Results : The 30 studies were identified using the electric database search and bibliographies. The 17 trials were eligible for inclusion criteria, then the systematic review and a meta-analysis were conducted on effectiveness and cost-effectiveness of medical nutrition therapy. The quality of the studies was evaluated using the quality assessment tool for observational studies. The quality score was 0.515 ${\pm}$ 0.121 (range : 0.279-0.711, median : 0.466). The meta-analysis of 17 studies based on the random effect model showed that medical nutrition therapy was highly effective in treating the diseases (effect size 0.3092 : 95% confidence interval 0.2282-0.3303). The vote-counting method, one of meta-analysis methods, was applied to evaluate the cost-effectiveness of medical nutrition therapy conducted by dietitians. Two criteria (method 1, method 2) for voting were used. The calculated p-values for method 1 (more conservative method) and method 2 (less conservative method) were 0.1250 and 0.0106, respectively. Medical nutrition therapy by dietitians was significantly cost-effective in the method 2. Conclusion. This meta-analysis showed that the effectiveness of medical nutrition therapy was statistically significant in treating disease (effect size 0.3092), and that the cost-effectiveness of medical nutrition therapy was statistically significant in the method 2 (less conservative method) of vote counting. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | Korean Nutrition Society | - |
dc.relation.isPartOf | Journal of Nutrition and Health | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | 메타분석을 이용한 임상영양서비스의 비용-효과성 평가 | - |
dc.title.alternative | Evaluation of Cost-Effectiveness of Medical Nutrition Therapy : Meta-Analysis | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Preventive Medicine and Public Health (예방의학교실) | - |
dc.contributor.googleauthor | 김현아 | - |
dc.contributor.googleauthor | 양일선 | - |
dc.contributor.googleauthor | 이해영 | - |
dc.contributor.googleauthor | 이영은 | - |
dc.contributor.googleauthor | 박은철 | - |
dc.contributor.googleauthor | 남정모 | - |
dc.contributor.localId | A01264 | - |
dc.contributor.localId | A01618 | - |
dc.relation.journalcode | J01649 | - |
dc.identifier.eissn | 2288-3959 | - |
dc.subject.keyword | medical nutrition therapy | - |
dc.subject.keyword | dietitian | - |
dc.subject.keyword | meta-analysis | - |
dc.subject.keyword | cost-effectiveness | - |
dc.subject.keyword | vote-counting method | - |
dc.contributor.alternativeName | Nam, Jung Mo | - |
dc.contributor.affiliatedAuthor | 남정모 | - |
dc.contributor.affiliatedAuthor | 박은철 | - |
dc.citation.volume | 36 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 515 | - |
dc.citation.endPage | 527 | - |
dc.identifier.bibliographicCitation | Journal of Nutrition and Health, Vol.36(5) : 515-527, 2003-06 | - |
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