Budget impact analysis of a home-based colorectal cancer screening programme in Malaysia.
Budget impact analysis of a home-based colorectal cancer screening programme in Malaysia.
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DOI：
10.1136/bmjopen-2022-066925
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发表时间：
2023-03-21
期刊：
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
--
作者：
2020-2022年研究项目“马来西亚结直肠癌筛查干预措施”（CRC-SIM）评估了塞加马特区以家庭为基础的CRC筛查试点的实施情况。这一预算影响分析（BIA）评估了马来西亚卫生部预算在全国范围内实施试点方案与当前机会性筛查方案的情况下，卫生支出的预期变化。预算影响分析。机会性和新型CRC筛查方案中的假设和成本分别来自马来西亚社区卫生诊所和CRC-SIM研究项目中的机会性CRC筛查的先前评估。国家一级（补充分析地区一级）。BIA是从联邦政府的角度进行的，并估计了5年内的年度财务影响。目前机会性筛查的年度总成本为1 584 321令吉（约1 099 460美元），其中80%（1 274 690令吉或约884 587美元）用于向利用该服务的成年人提供机会性CRC。关于实施全国CRC筛查方案，第一年的净预算影响估计为107 631 959林吉特（约74 692 546美元），第五年将达到148 485 812林吉特（约103 043 589美元），假设每年增加5%。费用的计算是敏感的概率的成年人谁是接触，合格和同意参加该方案。BIA的结果提供了预算变化的直接和明确的估计，以帮助马来西亚卫生服务规划者和专员在实施基于人口的国家CRC筛查计划时做出决策，以确定该计划是否在其预算限制范围内负担得起。该研究还说明了BIA方法在低收入和中等收入国家以及资源有限环境中的用途和价值。
The 2020–2022 research project ‘Colorectal Cancer Screening Intervention for Malaysia’ (CRC-SIM) evaluated the implementation of a home-based CRC screening pilot in Segamat District. This budget impact analysis (BIA) assessed the expected changes in health expenditure of the Malaysian Ministry of Health budget in the scenario where the pilot programme was implemented nationwide vs current opportunistic screening. Budget impact analysis. Assumptions and costs in the opportunistic and novel CRC screening scenarios were derived from a previous evaluation of opportunistic CRC screening in community health clinics across Malaysia and the CRC-SIM research project, respectively. National level (with supplement analysis for district level). The BIA was conducted from the viewpoint of the federal government and estimated the annual financial impact over a period of 5 years. The total annual cost of the current practice of opportunistic screening was RM1 584 321 (~I$1 099 460) of which 80% (RM1 274 690 or ~I$884 587) was expended on the provision of opportunistic CRC to adults who availed of the service. Regarding the implementation of national CRC screening programme, the net budget impact in the first year was estimated to be RM107 631 959 (~I$74 692 546) and to reach RM148 485 812 (~I$103 043 589) in the fifth year based on an assumed increased uptake of 5% annually. The costs were calculated to be sensitive to the probability of adults who were contactable, eligible and agreeable to participating in the programme. Results from the BIA provided direct and explicit estimates of the budget changes to when implementing a population-based national CRC screening programme to aid decision making by health services planners and commissioners in Malaysia about whether such programme is affordable within given their budget constraint. The study also illustrates the use and value of the BIA approach in low-income and middle-income countries and resource-constrained settings.
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影响因子：
4.5
作者：
Sullivan, Sean D.;Mauskopf, Josephine A.;Shau, Wen-Yi
通讯作者：
Shau, Wen-Yi
影响因子：
4.3
作者：
Issa IA;Noureddine M
通讯作者：
Noureddine M
影响因子：
4.4
作者：
Trueman, P;Drummond, M;Hutton, J
通讯作者：
Hutton, J
影响因子：
2.9
作者：
Schliemann, Desiree;Ramanathan, Kogila;Tamin, Nor Saleha Binti Ibrahim;O'Neill, Ciaran;Cardwell, Christopher R.;Ismail, Roshidi;Nanu, Prathibha;Ghazali, Ahmad Nizal bin Mohd;Kee, Frank;Su, Tin Tin;Donnelly, Michael
通讯作者：
Donnelly, Michael
影响因子：
3.8
作者：
Arrospide, Arantzazu;Idigoras, Isabel;Lansdorp-Vogelaar, Iris
通讯作者：
Lansdorp-Vogelaar, Iris