昆士兰州社区惩戒所查型肝炎的成本分析项目
Kelly Maynard1, Farah Houdroge1, Rachael Thompson2
1Disease Elimination Program, Burnet Institute, 85 Commercial Rd, Melbourne, Victoria, 3004, Australia.
BMC health services research
|December 19, 2025
概括
在澳大利亚社区惩戒中心进行型肝炎病毒 (HCV) 检测和治疗,每次治疗费用为11,427美元,每次治疗费用为19,998美元. 这些计划提供了一种具有成本效益的方法,以达到服务不足的人口.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 卫生经济学 卫生经济学
背景情况:
- 刑事司法系统中的个人表现出减少的医疗保健参与和升高的C型肝炎病毒 (HCV) 感染风险.
- 社区惩戒中心为诊断和治疗以前未接触的人群中的HCV提供了独特的机会.
研究的目的:
- 确定社区惩戒中心实施的HCV计划的每次治疗启动成本和每次治疗成本.
主要方法:
- 从2022年7月到2023年7月,在布里斯班的四个社区惩戒中心收集了非药品费用.
- 包括成本:员工工资,全科医生 (GP) 费用,物流,医疗检测,激励和总体费用.
- 随访费用是根据护士随访总时间来估计的.
主要成果:
- 在33个诊所共花费了159,982美元.
- 在185名参与者中,23人 (12%) 检测出HCV的RNA阳性.
- 每次治疗的成本为19,998美元,每次治疗启动的成本为11,427美元. 除了全科医生费用外,这些费用分别减少到12,843美元和7,339美元.
结论:
- 通过社区惩戒中心进行HCV检测和治疗是潜在的成本效益高的策略.
- 这些计划对于识别和治疗没有参与常规医疗保健的HCV患者至关重要.
- 这种方法变得越来越重要,因为整体的HCV流行率下降,病例发现变得越来越具有挑战性.
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