提高中国结核病治疗坚持率的设备的单位成本和成本效益
S Sweeney1, K Fielding1, X Liu2
1London School of Hygiene & Tropical Medicine, London, UK.
IJTLD open
|July 22, 2024
概括
像药物事件提醒监控器 (MERM) 这样的数字坚持技术显示低增量成本,但在中国结核病治疗中尚未具有成本效益. 通过更广泛的患者管理策略,成本效益可能会提高.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 数字健康干预措施 数字健康干预措施
背景情况:
- 坚持结核病 (TB) 药物治疗对于治疗成功至关重要.
- 数字合规技术有潜力,但缺乏成本效益的证据.
- 药物事件提醒监控器 (MERM) 是这样一种技术.
研究的目的:
- 评估MERM的成本效益与中国结核病治疗的标准护理相比.
- 分析实用,集群随机优越性试验的数据.
主要方法:
- 社会视角成本数据收集.
- 马尔科夫对20年时间的建模,使用3%的折扣率.
- 敏感性和场景分析,以探索不确定性.
主要成果:
- MERM的增量成本为每名患者27.22美元.
- 概率灵敏度分析显示,成本效益的不确定性很大.
- 关键参数的变化对增量成本效益率产生了重大影响.
结论:
- 目前,MERM的低增量成本并没有转化为成本效益.
- 通过将其整合到更广泛的患者管理策略中,可以提高成本效益.
- 需要进一步的研究,以优化数字坚持技术的实施.
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