撒哈拉以南非洲的卫生系统生产力:高负担国家的结核病控制
1Department of Economics Sciences, University of Lome (Togo), Lomé, Togo. hatake@univ-lome.tg.
Cost effectiveness and resource allocation : C/E
|November 25, 2023
概括
技术进步推动了撒哈拉以南非洲结核病 (TB) 计划的总因子生产率 (TFP) 的增长. 通过更好的资源管理和培训提高技术效率是提高结核病计划绩效的关键.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 撒哈拉以南非洲 (SSA) 承受着严重的结核病 (TB) 负担,占全球结核病死亡人数的很大一部分.
- 结核病仍然是16个南亚和东南亚地区具有高度流行性的国家的主要公共卫生挑战.
研究的目的:
- 为了估计16个SSA国家的结核病计划的生产率变化.
- 确定这些计划中总因子生产率 (TFP) 增长的关键驱动因素.
主要方法:
- 使用希克斯-穆尔斯索引计算和分解TFP.
- 使用β-融合和sigma-融合测试来分析TFP模式.
主要成果:
- 技术变革被确定为TFP增长的主要驱动力.
- 提高技术效率对于改善结核病计划中的TFP至关重要.
- 收试验表明,在所研究的SSA国家中,TFP变化具有显著的同质性.
结论:
- 提高结核病计划效率需要加强资源配置,治理,管理和卫生提供者培训.
- 建议加强预防政策,并将结核病治疗纳入全民医疗保险计划.
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