对伊朗COVID-19的诊断策略的成本效益分析
F Rahmanzadeh1, N Malekpour2, A Faramarzi3
1Student Research Committee, Urmia University of Medical Sciences, Urmia, Iran.
BMC health services research
|August 14, 2023
概括
最具成本效益的COVID-19诊断策略取决于疾病的流行率. 聚合酶链反应 (PCR) 测试对于低患病率是最好的,而免疫球蛋白M和G (IgM&IgG) 测试对于高患病率更具成本效益.
科学领域:
- 卫生经济学 卫生经济学
- 传染病诊断 传染病诊断 传染病诊断
- 公共卫生政策 公共卫生政策
背景情况:
- 由于COVID-19对全球健康构成了重大挑战,需要准确高效的诊断方法.
- 无症状传播强调了早期查和诊断的必要性.
- 标准的诊断工具,如CT扫描,PCR和抗体测试,相关的医疗保健费用需要成本效益评估.
研究的目的:
- 从医疗保健提供者的角度来看,确定COVID-19最具成本效益的诊断策略.
- 为了比较各种COVID-19诊断方法的增量成本效益比率 (ICER).
主要方法:
- 使用伊朗卫生部数据进行经济评估分析.
- 基于测试灵敏度和特异性的有效性计算.
- 使用Treeage软件估计ICER和灵敏度分析.
主要成果:
- 对于COVID-19流行率低 (5%),PCR是最具成本效益的策略.
- IgM和IgG抗体测试成为更高患病率情景 (10%和50%) 的最具成本效益的策略.
- 单向灵敏度分析表明,结果对于参数变化是可靠的.
结论:
- 最佳的COVID-19诊断方法因疾病患病率而异.
- 推PCR测试用于低患病率设置,而IgM和IgG测试更适合用于高患病率设置.
- 调查结果可以指导决策者选择准确且经济可行的COVID-19诊断方法.
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