使用尼泊尔数据对结核病患者成本调查进行横截面和纵向方法的比较
Daisy Bengey1, Anchal Thapa2,3, Kritika Dixit3,4
1Department of Tropical Disease Biology, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, United Kingdom.
Health policy and planning
|June 10, 2023
概括
对尼泊尔结核病 (TB) 患者费用的纵向研究设计揭示了比横截面方法更高的财务负担和社会影响. 这凸显了纵向数据对于评估结核病患者社会经济保护战略的重要性.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 社会经济影响评估.
背景情况:
- 国家结核病 (TB) 患者成本调查对于了解结核病在高负担国家的社会经济影响至关重要.
- 研究设计的方法变化,例如横截面与纵向,可能导致不同的成本估计,使社会经济保护策略的设计和评估变得复杂.
研究的目的:
- 为了比较尼泊尔使用横截面与纵向数据收集方法估计的结核病的社会经济影响.
- 评估两种方法之间的患者成本,灾难性成本流行率和整体社会经济影响的差异.
主要方法:
- 从2018年4月至2019年10月期间在尼泊尔进行的纵向成本调查数据的分析.
- 在结核病治疗的密集阶段和持续阶段计算患者的平均和中位成本.
- 从纵向和横向 (在两个时间点) 分析中得出的成本,灾难性成本普遍性和社会经济影响的比较.
主要成果:
- 在纵向和横截面方法之间,在计算成本和社会影响方面观察到显著差异.
- 与横截面方法 (US $ 91.63) 相比,纵向设计的中位数总成本 (US $ 119.42) 大大高于纵向设计的中位数.
- 纵向方法确定了粮食不安全,社会排斥的更高流行率,以及报告增加贫困的患者.
结论:
- 纵向研究设计有效地捕捉了结核病患者成本和社会经济影响的关键方面,这些方面在横截面方法中被忽视了.
- 对于资源有限的环境,建议在继续阶段的开始进行单个横截面试作为最佳时机.
- 建议进行进一步的研究,以改进患者在结核病诊断和治疗过程中准确报告患者支出的方法.
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