开发基本卫生服务套餐的成本调节干预措施:快速方法的应用和来自巴基斯坦的结果
Wajeeha Raza1, Wahaj Zulfiqar2, Mashal Murad Shah3
1Centre for Health Economics, University of York, York, UK.
International journal of health policy and management
|August 5, 2024
概括
巴基斯坦使用快速成本计算方法开发了一套基本卫生服务套餐 (EPHS). 该方法有效估计了卫生干预措施的单位成本,指导到2030年实现全民健康覆盖的进展.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 巴基斯坦联邦国家卫生服务,监管和协调部 (MNHSR&C) 的目标是到2030年实现全民健康覆盖 (UHC).
- 基本卫生服务套餐 (EPHS) 是巴基斯坦实现UHC的战略.
- 自2019年以来,疾病控制优先事项第三版 (DCP3) 框架指导了EPHS的发展.
研究的目的:
- 描述快速成本计算方法的方法和结果.
- 为巴基斯坦EPHS的设计过程提供信息.
- 为了估计卫生干预的特定环境单元成本.
主要方法:
- 采用了自下而上的,以成分为基础的经济成本计算方法.
- 资源利用量是根据MNHSR&C描述和专家验证来确定的.
- 用公开可用的价格数据计算了167项干预措施的单位成本.
主要成果:
- 估计单位成本在0.27美元至1478美元 (2019年) 之间.
- 癌症干预最昂贵 (平均837美元),环境服务最少 (平均0.68美元).
- 药物治疗方案和手术是主要的成本驱动因素;结果对药物定价敏感.
结论:
- 一种快速成本计算方法成功地开发并在六个月内应用.
- 这种方法产生了许多特定环境的单位成本.
- 该方法适用于告知EPHS设计和资源分配.
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