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Analysis of the Cost-effectiveness of Community-based DOTS versus In-hospital Care in the Treatment of Tuberculosis

dc.contributor.authorนักขัต เสาร์ทองen_US
dc.contributor.authorNagkhat Saothongen_US
dc.contributor.authorบุศราพร เกษสมบูรณ์en_US
dc.contributor.authorNusaraporn Kessomboonen_US
dc.contributor.otherจ.เชียงราย. โรงพยาบาลแม่สายen_US
dc.contributor.otherมหาวิทยาลัยขอนแก่น. คณะเภสัชศาสตร์en_US
dc.date.accessioned2011-06-17T10:03:37Zen_US
dc.date.accessioned2557-04-16T16:17:09Z
dc.date.available2011-06-17T10:03:37Zen_US
dc.date.available2557-04-16T16:17:09Z
dc.date.issued2011-03en_US
dc.identifier.issn0858-9437en_US
dc.identifier.urihttp://hdl.handle.net/11228/3157en_US
dc.description.sponsorshipสถาบันวิจัยระบบสาธารณสุขen_US
dc.format.extent257430 bytesen_US
dc.format.mimetypeapplication/pdfen_US
dc.language.isothen_US
dc.publisherสถาบันวิจัยระบบสาธารณสุขen_US
dc.rightsสถาบันวิจัยระบบสาธารณสุขen_US
dc.titleต้นทุนประสิทธิผลในการรักษาผู้ป่วยวัณโรคแบบมีพี่เลี้ยงในชุมชนกับแบบโรงพยาบาลen_US
dc.title.alternativeAnalysis of the Cost-effectiveness of Community-based DOTS versus In-hospital Care in the Treatment of Tuberculosisen_US
dc.typeArticleen_US
dc.description.abstractalternativeThis study was aimed at comparing the cost-effectiveness of tuberculosis treatment strategies between community-based DOTS (Directly Observed Therapy, Short Course) and hospital care at Maesai Hospital, Chiang Rai Province. Data on costs were collected in terms of provider and patient perspectives. Cost-effectiveness was calculated as the cost per patient successfully treated. The nine-month historical cohort study from November 1, 2009 to July 31, 2010 was designed to measure outcomes of tuberculosis treatment. By matching new pulmonary tuberculosis patients aged 15 to 60 years, the study included 54 patients from community-based DOTS programs and 52 patients receiving hospital care. The hospital cases were divided into three groups, i.e. days since admission: 1 to 7; 8 to 14; and more than 14, totalling 38, 8 and 6 patients, respectively. The provider cost data were collected from medical records while the patient cost data were collected in face-to-face interviews. Results showed that the average tuberculosis treatment costs under community-based DOTS Programs and hospital care were 9,436.84 baht and 13,540.32 baht per patient, respectively. Communitybased DOTS reduced costs by 30.31 per cent in comparison with hospital care. Sub-group cost analysis of hospital care of 1 to 7, 8 to 14 and more than 14 days since admission showed costs of 10,051.97, 19,168.63 and 27,969.72 baht per patient, respectively. The clinical success rates of community-based DOTS and hospital care were 90.74 per cent and 94.23 per cent respectively. The incremental costs of a case successfully treated in hospital were 1,175.78 baht higher than that of a community-based DOTS program. The study suggested that community-based DOTS is a more economically attractive option than hospital care. This is particularly important in settings where a TB clinic is implemented under the limited resources available to Maesai Hospital.en_US
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dc.subject.keywordต้นทุนen_US
dc.subject.keywordผู้ป่วยวัณโรคen_US
dc.subject.keywordการรักษาแบบมีพี่เลี้ยงen_US
dc.subject.keywordประสิทธิผลของการรักษาen_US
.custom.citationนักขัต เสาร์ทอง, Nagkhat Saothong, บุศราพร เกษสมบูรณ์ and Nusaraporn Kessomboon. "ต้นทุนประสิทธิผลในการรักษาผู้ป่วยวัณโรคแบบมีพี่เลี้ยงในชุมชนกับแบบโรงพยาบาล." 2011. <a href="http://hdl.handle.net/11228/3157">http://hdl.handle.net/11228/3157</a>.
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