腹的成本:来自全球肠道多中心研究 (GEMS) 的七个国家的家庭视角
Md Fuad Al Fidah1, Md Ridwan Islam2, Rukaeya Amin1,3
1Nutrition Research Division, International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, Bangladesh.
BMJ paediatrics open
|July 16, 2025
概括
腹疾病在低收入和中等收入国家 (LMICs) 造成重大经济负担,间接成本往往超过直接医疗费用. 解决生产力损失和改善医疗保健准入等因素对于缓解至关重要.
科学领域:
- 全球健康 全球健康
- 卫生经济学 卫生经济学
- 传染性疾病 传染性疾病
背景情况:
- 腹性疾病是一个重大的公共卫生挑战,特别是在南亚和撒哈拉以南非洲.
- 腹疾病的经济影响在低收入和中等收入国家 (LMICs) 不成比例地高.
研究的目的:
- 估计七个LMIC的护理人员与腹疾病相关的直接和间接成本.
- 确定影响这些经济成本的因素.
主要方法:
- 全球肠道多中心研究数据的二次分析,包括5岁以下的儿童.
- 从护理人员收集的成本数据,经通货膨胀调整,并转换为国际美元 (I$).
- 量子回归模型用于分析成本决定因素,调整人口统计和临床因素.
主要成果:
- 总直接成本 (TDC) 的中位数为8.4美元,总间接成本 (TIC) 为10.2美元.
- 孟加拉国报告的中位成本最高 (TDC:I$13.6,TIC:I$23.2),而莫桑比克的中位成本最低 (TDC:I$0.4,TIC:I$4.9).
- 药物占TDC的60.9%;TIC与寻求先前护理有显著的关联.
结论:
- 腹的间接成本是相当大的,反映出大量的生产力损失.
- 减少经济负担的策略包括加强医疗保健融资,确保负担得起的药物,促进WASH倡议和及时寻求医疗保健.
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