宫癌查和治疗途径的成本:孟加拉国和乌干达的案例研究
Marat Sultanov1, Fengming Pan2, Nazrul Naheed3
1Global Health Unit, Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Value in health regional issues
|December 28, 2025
概括
估计乌干达和孟加拉国宫癌查和治疗的成本显示,高风险的人类乳头瘤病毒检测比视觉检查更昂贵. 这些发现支持对低资源环境的政策决策.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
背景情况:
- 子宫癌对全球健康造成重大负担,特别是在低收入和中等收入国家 (LMICs).
- 获得有效查和治疗的限制加剧了LMICs的挑战.
- 实施宫癌查计划的成本数据往往很少,这阻碍了有效的资源配置.
研究的目的:
- 估计与乌干达和孟加拉国宫癌查和治疗途径相关的成本.
- 为了比较现有的视觉检查与酸 (VIA) 策略的成本与世界卫生组织推的高风险人类乳头瘤病毒 (hrHPV) 检测方法.
- 提供关键的经济数据,为LMICs的政策和规划提供信息.
主要方法:
- 采用混合方法的成本研究,利用来自多个医疗机构的数据.
- 微观和总成本计算方法都使用了自上而下的角度,取决于数据的可用性.
- 估计了查测试,分组,诊断和癌前病变和宫癌治疗的成本,报告在2022国际美元 (I $).
主要成果:
- 查和治疗费用因程序和国家而异.
- 与使用乙酸视觉检查相比,高风险的人类乳头瘤病毒自我检测的每次查成本更高 (乌干达:I$51.77;孟加拉国:I$66.24) (乌干达:I$20.27;孟加拉国:I$18.41).
- 治疗癌前病变的费用为I$29.43 (乌干达) 和I$37.24 (孟加拉国),而癌症治疗,包括化疗和放射治疗,在乌干达超过I$700.
结论:
- 该研究提供了两个LMIC的宫癌查和治疗的重要,具体的成本估计.
- 这些发现可以帮助早期规划和制定宫癌控制计划的政策.
- 结果强调了持续收集本地数据的关键需求,以加强未来在全球卫生倡议中的经济评估.
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