在统一卫生系统中对COVID-19测试的成本效益分析
Vinicius Queiroz Miranda Cedro1, Stéfany de Lima Gomes2, Ana Clara Correa Duarte Simões2
1Department of Community Dentistry, Piracicaba Dental School, Universidade Estadual de Campinas - UNICAMP, Piracicaba, SP, Brazil. viniciusqcedro@gmail.com.
Cost effectiveness and resource allocation : C/E
|September 13, 2023
概括
快速抗原测试 (TR-Ag) 为巴西统一卫生系统 (SUS) 内的COVID-19检测提供了RT-PCR的经济有效替代方案. 该策略支持扩大测试并减轻经济影响,尽管建议进一步验证准确性.
科学领域:
- 公共卫生 公共卫生
- 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
背景情况:
- 评估快速抗原测试 (TR-Ag) 与RT-PCR在巴西统一卫生系统 (SUS) 中检测COVID-19的成本效益.
- 评估诊断测试选择对公共卫生管理和劳动力缺勤的经济影响.
研究的目的:
- 确定使用TR-Ag测试作为COVID-19诊断中RT-PCR的替代品的成本效益比率.
- 在SUS框架内分析诊断策略的更广泛的经济影响.
主要方法:
- 一个成本效益分析,比较TR-Ag和RT-PCR用于COVID-19诊断.
- 在两个不同的场景中,包括制造商报告的TR-Ag准确性和基于文献的准确性.
- 利用增加的诊断作为健康结果和缺勤率作为经济影响标准.
主要成果:
- 对TR-Ag的增量成本效益比率在每千项测试中从R$ 42,136.67到R$ 68,329.73不等.
- 与TR-Ag相比,RT-PCR测试的平均成本为R$ 202.87,这意味着成本增加了165.32%.
- 如果RT-PCR仍然是主要的诊断方法,潜在的市政管理影响高达R$1,022,779.68.
结论:
- TR-Ag测试是SUS内COVID-19检测的经济有效的选择.
- 这一战略促进了扩大测试,有助于控制流行病,并减轻了当地经济负担.
- 需要进一步的研究来验证TR-Ag的准确性,以便进行更精确的经济评估.
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