优化卫生资源分配,以改善中国的及时艾滋病毒诊断
Shihao He1, Wei Dong2, Christopher K Fairley3,4
1China-Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, China.
Journal of the International AIDS Society
|March 6, 2024
概括
在中国优化艾滋病毒检测资源分配可以显著增加及时诊断和降低成本. 向一般女性和与男性发生性关系的男性转移资金可以提高诊断率并降低每例检测费用.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 数学建模的数学建模
背景情况:
- 联合国艾滋病毒/艾滋病联合计划署 (联合国艾滋病规划署) 已在2030年之前为艾滋病毒的终结设定了95-95-95的目标.
- 及时诊断艾滋病毒对于实现这些目标和控制疫情至关重要.
研究的目的:
- 研究优化资源分配策略,用于中国的艾滋病毒检测.
- 为了在14个不同的人群中最大限度地及时诊断艾滋病毒.
主要方法:
- 开发了一个数学模型,整合了流行病学,人口统计和行为数据.
- 评估了各种艾滋病毒检测资源分配策略.
- 确定了一个优化的分配,以在固定预算内最大限度地诊断.
主要成果:
- 最初的分配策略导致了45.5%的及时诊断和每例42,852美元的成本.
- 优化分配,优先考虑一般女性和与男性发生性关系的男性,及时诊断率提高到83.4% (23,364美元/病例).
- 这一策略显著减少了对一般男性的支出,同时增加了对其他关键群体的测试.
结论:
- 优化艾滋病毒检测资源分配对于改善及时诊断率至关重要.
- 战略性重新分配可以大大降低每个检测到的艾滋病毒病例的成本.
- 进一步投资可以提高低风险人群的测试覆盖率.
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