在高发病率地区是否值得对采石场工人进行结核病感染查? 一个成本效益分析分析
Sofia Sousa1, Carlos Carvalho2, Sofia Santos3
1ICBAS - Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal; Estudo das Populações, ICBAS, Universidade do Porto, Porto, Portugal.
Respiratory medicine
|September 13, 2024
概括
在高发病率地区对采石场工人进行结核病 (TB) 感染的查是具有成本效益的. 该计划为工人和雇主带来了节约,证明了结核病感染查的经济价值.
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:
- 在高风险人群中对结核病 (TB) 感染进行查对于实现终结结核病目标至关重要.
- 在2018年至2022年期间,在葡萄牙高发病率地区的采石场工人中进行了一项结核病感染查计划.
- 该研究从社会角度评估了这种查计划的成本效益.
研究的目的:
- 确定为采石场工人实施结核感染查计划的成本效益.
- 分析结核病感染查对个人,雇主和国家卫生服务 (NHS) 的经济影响.
主要方法:
- 计算了与查计划相关的直接和间接医疗和非医疗成本.
- 通过预防活跃结核病病例而获得的评估成本节约.
- 估计使用基于文献的从结核病感染到结核病的进展率来避免结核病病例.
主要成果:
- 997名采石场工人接受了查,215人被诊断患有结核病感染,150人开始接受预防治疗.
- 查计划的总成本为136,295.5欧元.
- 据估计,预防了29例结核病例,潜在成本为152,386欧元,净节省16.091欧元 (工人的4,516欧元,雇主的40,898欧元和NHS的-29,322欧元).
结论:
- 对于高发病率地区的采石场工人而言,结核病感染查计划的金钱效益大于其成本.
- 公司和工人均实现了显著的财务节省.
- 改进结核病感染测试以更好地预测疾病进展可能会降低NHS支出.
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