支持结核病治疗的数字坚持技术的成本,2018-2021年
Emerging infectious diseases
|December 26, 2023
概括
像99DOTS和视频观察疗法 (VOT) 这样的数字坚持技术有助于结核病治疗. 99DOTS具有成本效益,而VOT更昂贵,但在某些情况下可能会节省成本.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 传染病管理 传染病管理
背景情况:
- 数字坚持技术对于改善结核病 (TB) 治疗坚持至关重要.
- 微投注是评估医疗保健干预措施的一个关键方法.
研究的目的:
- 估计和比较数字坚持技术 (99DOTS和VOT) 与标准直接观察治疗 (DOT) 的医疗保健系统成本.
- 分析这些技术在各种全球环境中的成本效益.
主要方法:
- 在示范项目 (2018-2021) 中实施的99DOTS药物套和视频观察治疗 (VOT) 的微成本分析.
- 从孟加拉国,菲律宾,坦桑尼亚,海地和摩尔多瓦的项目中收集的成本数据.
- 对药物敏感性和耐药性结核病例的人均成本的比较.
主要成果:
- 99DOTS每人费用从98美元 (孟加拉国) 到174美元 (坦桑尼亚) 的药物敏感结核病.
- 视频观察治疗 (VOT) 每人费用从304美元 (摩尔多瓦,对药物敏感) 到1,154美元 (海地,对药物敏感).
- 99DOTS的成本与标准DOT相当或低于标准DOT; VOT更昂贵,但可以通过劳动力补偿或规模经济节省成本.
结论:
- 99DOTS为结核病治疗提供了一种具有成本效益的数字粘附技术.
- 视频观察疗法 (VOT) 是一个成本较高的干预措施,但在特定条件下存在潜在的节省.
- 如果外部捐助者为基础设施成本提供资金,99DOTS和VOT都能节省项目成本.
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