在三个撒哈拉以南非洲国家的肺结核化疗的成本效益
C J Murray1, E DeJonghe, H J Chum
1Center for Population Studies, Harvard University, Cambridge, Massachusetts 02138.
Lancet (London, England)
|November 23, 1991
概括
发展中国家的肺结核化疗方案具有成本效益. 门诊短期化疗提供了显著的价值,以较低的成本比其他必要的健康干预措施节省了几年的生命.
科学领域:
- 公共卫生 公共卫生
- 传染病控制和控制传染病
- 卫生经济学 卫生经济学
背景情况:
- 发展中国家肺结核控制计划的成本效益受到争议.
- 在这些地区,唾液污染阳性结核病仍然是一个重大的公共卫生挑战.
研究的目的:
- 评估马拉维,莫桑比克和坦桑尼亚肺部唾液涂抹阳性结核病化疗方案的成本效益.
- 为了比较不同化疗方案和输送方法每年节省的生命成本.
主要方法:
- 使用马拉维,莫桑比克和坦桑尼亚化疗计划数据分析成本效益.
- 计算每年为短期化疗和标准化疗节省的生命增量成本,包括住院治疗和不住院治疗.
- 与其他已确定的具有成本效益的健康干预措施进行比较.
主要成果:
- 短期化疗的治愈率达到86-90%,而标准化疗的治愈率达到60-66%.
- 门诊短期化疗每年挽救生命的成本最低 (0.9-1.1美元),其次是门诊标准化疗 (0.9-1.3美元).
- 涂抹阳性结核病的化疗比麻疹免疫和口服补水疗法更具成本效益.
结论:
- 肺结核的化疗是发展中国家非常具有成本效益的干预措施.
- 门诊治疗策略,特别是短期化疗,提供了最好的经济价值.
- 由于传播效益减少,治疗结核病的艾滋病毒阳性患者的成本效益仅略低.
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