埃塞俄比亚儿童癌症治疗的成本
Mizan Kiros Mirutse1,2, Michael Tekle Palm3, Mieraf Taddesse Tolla1
1Department of Global Public Health and Primary Care, Bergen Centre for Ethics and Priority Setting (BCEPS), University of Bergen, Bergen, Norway.
PloS one
|June 2, 2023
概括
经营埃塞俄比亚儿科瘤病房的年度成本为776,060美元,即每名儿童577美元. 埃塞俄比亚的儿童癌症治疗似乎是负担得起的,因此需要进一步的成本效益研究.
科学领域:
- 卫生经济学 卫生经济学
- 儿科瘤学 儿科瘤学
- 公共卫生政策 公共卫生政策
背景情况:
- 埃塞俄比亚国家儿童和青少年癌症控制计划 (NCACCP) 强调需要扩大儿科瘤服务.
- 关于埃塞俄比亚儿科瘤病房和儿童癌症治疗的运营成本的数据有限.
研究的目的:
- 为了估计儿童瘤病房运营的年度总成本.
- 为了确定每名接受治疗的儿童和每项特定服务 (例如,门诊访问,床上一天) 的成本.
主要方法:
- 从提供者的角度来看,采用混合 (自上而下和自下而上) 的成本计算方法.
- 在一年内,收集了儿童瘤病房和其他医院部门的历史成本数据和服务量.
- 直接成本 (人员,药品,用品,设备) 和一般费用被汇总,以计算总和单位成本.
主要成果:
- 儿科瘤病房的年度总成本为776,060美元 (每名儿童为577美元).
- 根据敏感性分析,每名接受治疗的儿童的成本从469美元到1085美元不等.
- 药品/物资 (33%) 和人力资源 (27%) 是主要的成本驱动因素;住院护理占成本的63%.
结论:
- 在埃塞俄比亚经营一个儿科瘤病房可能是负担得起的.
- 建议对成本效益,公平和财务保护进行进一步的研究,以指导儿童癌症控制干预措施.
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