Patient costs during tuberculosis treatment in Bangladesh and Tanzania: the potential of shorter regimens
Patient costs during tuberculosis treatment in Bangladesh and Tanzania: the potential of shorter regimens
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DOI：
10.5588/ijtld.13.0391
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发表时间：
2014-07-01
影响因子：
4
通讯作者：
Squire, S. B.
中科院分区：
文献类型：
--
作者：
Gospodarevskaya, E.;Tulloch, O.;Squire, S. B.
目的：估计孟加拉国和坦桑尼亚患者在当前 6 个月结核病 (TB) 治疗方案的强化阶段和持续阶段所产生的费用，从而确定较短的 4 个月治疗方案对患者的潜在益处。设计：对经过验证的遏制结核病患者费用调查问卷进行了修改，并用于对当前方案治疗持续阶段的 190 名患者进行访谈。结果：在这两个国家，患者在 2 个月治疗期间的总体费用较低。持续治疗阶段（坦桑尼亚为 74 美元，孟加拉国为 56 美元）高于 2 个月的强化治疗阶段（分别为 150 美元和 111 美元）。然而，继续阶段患者费用仍占各自国家两个月平均国民收入的 89% 和 77%。在某些情况下，通过社区治疗观察等当地服务系统的功能，直接旅行成本保持在较低水平。生产力的损失和补充食品的成本仍然很大。 结论：虽然确定可能节省的确切数量并不是一件简单的事情，但较短的治疗方案将减少患者在持续阶段最近 2 个月中产生的自付费用，并允许更早恢复生产活动。
OBJECTIVE: To estimate the costs incurred by patients during the intensive and continuation phases of the current 6-month tuberculosis (TB) regimen in Bangladesh and Tanzania, and thus identify potential benefits to patients of a shorter, 4-month treatment regimen.DESIGN: The validated Stop TB patient cost questionnaire was adapted and used in interviews with 190 patients in the continuation phase of treatment with current regimens.RESULTS: In both countries, overall patient costs were lower during 2 months of the continuation phase (US$74 in Tanzania and US$56 in Bangladesh) than during the 2 months of the intensive phase of treatment (US$150 and US$111, respectively). However, continuation phase patient costs still represented 89% and 77% of the 2-month average national income in the respective countries. Direct travel costs in some settings were kept low by local delivery system features such as community treatment observation. Lost productivity and costs for supplementary foods remained significant.CONCLUSIONS: Although it is not a straightforward exercise to determine the exact magnitude of likely savings, a shorter regimen would reduce out-of-pocket expenses incurred by patients in the most recent 2 months of the continuation phase and allow an earlier return to productive activities.