巴基斯坦针对C型肝炎病毒的员工健康查计划的经济评估
Asra Qureshi1, Theodore Bolas2, Unab Inayat Khan3
1Department of Family Medicine, Aga Khan University, Karachi, Pakistan. asra.qureshi@aku.edu.
Cost effectiveness and resource allocation : C/E
|December 16, 2025
概括
在巴基斯坦,对C型肝炎病毒 (HCV) 的工作场所查具有成本效益,可以避免DALY并挽救生命. 这个试点项目证明了在高流行地区对健康资源的明智投资.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 传染病流行病学 传染病流行病学
背景情况:
- 肝炎C病毒 (HCV) 构成了全球重大健康挑战,巴基斯坦的疾病负担很高.
- 未被发现和未经治疗的HCV病例导致了全球的大量发病率和死亡率.
- 抗击HCV是一种全球卫生优先事项,需要有效的干预策略.
研究的目的:
- 评估工作场所C型肝炎病毒 (HCV) 查计划的成本效益.
- 为 HCV 控制计划的资源分配决策提供信息.
- 提供工作场所健康查对经济影响的证据.
主要方法:
- 使用决策树和马尔科夫建模进行经济评估.
- 来自一项试点工作场所健康查计划的数据分析,涉及1809名员工.
- 单变量和多变量概率灵敏度分析以评估不确定性.
主要成果:
- 平均增量成本效益比 (ICER) 为每天307.39美元.
- 据估计,查可以预防1至14例由HCV引起的肝衰竭导致的死亡.
- 对于ICER的置信区间在每天167.92美元至1601.22美元之间.
结论:
- 工作场所HCV查在像巴基斯坦这样的高患病率环境中是一个具有成本效益的策略.
- 投资于此类查计划是对卫生资源的谨慎分配.
- 程序性改进可以进一步最大限度地提高健康益处和成本效益.
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