提供先进的艾滋病毒疾病治疗服务的成本,通过马拉维的枢纽和分支模型
Mario Songane1, Sushant Mukherjee2, Rachel Chamanga3
1Elizabeth Glaser Pediatric AIDS Foundation, Maputo, Mozambique.
The American journal of tropical medicine and hygiene
|August 20, 2024
概括
提供先进的艾滋病毒疾病 (AHD) 服务,包括抗微生物预防,每位患者的费用为240美元,每位12个月的客户为431美元. 降低成本需要更好的药物定价和人员效率.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 传染性疾病 传染性疾病
背景情况:
- 在晚期艾滋病毒疾病 (AHD) 中启动抗逆转录病毒疗法 (ART) 需要抗菌预防和机会性感染治疗.
- 这些干预措施改善了患者的预后,并降低了AHD患者的死亡率.
研究的目的:
- 在12个月内估计每位患者 (PP) 和每位保留客户 (PR) 的AHD服务平均成本.
- 在AHD服务包中识别关键成本驱动因素.
主要方法:
- 在马拉维的13个中心和19个发言站点进行了为期12个月的成本分析.
- 费用被分配给接受服务的患者总数和保留在护理中的患者数量.
- 患者数据包括参加AHD计划的儿童,青少年和成年人.
主要成果:
- 在12个月内,246名AHD患者的总费用为59,063美元.
- 每位患者 (PP) 的平均成本为240美元,每位保留客户 (PR) 的平均成本为431美元.
- 药品是最大的支出 (30%),其次是支持性监督旅行 (24%) 和诊所访问 (19%).
结论:
- 降低AHD护理成本需要协调采购和制造商谈判,以降低药物和消费品价格.
- 提高现场级员工的效率和能力可以降低与支持性监督相关的成本.
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