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评分工具用于识别菲律宾面临灾难性成本的结核病患者
T Yamanaka1,2,3, A M C Garfin4, D M G Gaviola4
1World Health Organization (WHO), Global Tuberculosis Programme, Geneva, Switzerland.
Public health action
|June 26, 2023
概括
一个新的评分系统可以识别在菲律宾面临灾难性成本风险的结核病 (TB) 患者. 该工具有助于预防和解决与结核病护理相关的财务负担.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 实际上,需要一个简单的工具来识别结核病 (TB) 患者,这些患者在公共卫生保健中面临灾难性成本.
- 这种工具可以帮助预防和解决结核病治疗期间个别患者的经济困难.
研究的目的:
- 开发和验证一个简单的评分系统,以识别在菲律宾面临灾难性成本风险的结核病患者.
主要方法:
- 利用了菲律宾全国结核病患者成本调查的数据.
- 随机分配患者进入导出和验证样本.
- 开发了使用后勤回归的四个评分系统并验证了它们.
主要成果:
- 确定了灾难性成本的12个预测因素.
- 使用所有12个因素的基于β系数的评分系统显示出高有效性 (AUC 0.783).
- 使用七个因子的减少系统保持了可接受的有效性 (AUC 0.767).
结论:
- 开发的基于β系数的评分系统有效地识别了在菲律宾面临灾难性结核病相关成本高风险的患者.
- 为了实施常规的结核病监测,需要对操作可行性的进一步调查.
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