基于社区的活跃病例寻找策略的结核病的成本效益:来自中国深的证据
Xingtong Pei1, Tao Zhong2, Chongguang Yang1
1School of Public Health (Shenzhen), Shenzhen Campus, Sun Yat-sen University, Shenzhen, China.
The Journal of infectious diseases
|January 23, 2024
概括
基于社区的结核病活跃病例发现 (ACF) 是具有成本效益的. 这一策略成功地减少了结核病例,并建议在流行地区的有症状的个体使用.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 活跃病例发现 (ACF) 显示了早期结核病 (TB) 检测的希望.
- 在低收入和中等收入国家,关于ACF成本效益的证据有限.
- 本研究评估了中国深社区ACF的成本效益.
研究的目的:
- 评估基于社区的结核病例发现 (ACF) 的成本效益.
- 将ACF策略与被动案例发现 (PCF) 进行比较.
主要方法:
- 从社会角度分析基于马尔科夫模型的决策分析.
- 在动态队列上对20年时间的分析.
- 被动病例发现 (PCF),基本ACF和高级ACF策略的比较.
主要成果:
- 基本和高级ACF分别减少了每10万人口中的6.8和10.2个活跃结核病例.
- 增量成本效益比率 (ICERs) 为基本和高级ACF的每一年质量调整后的寿命年均为14,757日元和8,217日元.
- 两种ACF策略均表现出低于确定的门的成本效益.
结论:
- 以社区为基础的ACF针对有症状的个体是一个具有成本效益的结核病查策略.
- 在结核病流行地区,ACF为公共卫生带来了显著的好处.
- 建议在有症状的人群中实施类似的ACF策略.
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