Cost analyses of peer health worker and mHealth support interventions for improving AIDS care in Rakai, Uganda
Cost analyses of peer health worker and mHealth support interventions for improving AIDS care in Rakai, Uganda
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DOI：
10.1080/09540121.2012.722600
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发表时间：
2013-05-01
影响因子：
1.7
通讯作者：
Holtgrave, David
中科院分区：
文献类型：
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作者：
Chang, Larry W.;Kagaayi, Joseph;Holtgrave, David
成本分析研究可计算提供干预措施所需的资源，并可为服务提供者和决策者提供关于负担能力的有用信息。我们进行了成本分析的同行保健工作者（PHW）和移动健康（移动的电话）支持干预。不包括监督人员费用，PHW干预的年度总成本为8475美元，导致每位患者的年度成本为8.74美元，每位病毒学失败避免的成本为189美元，每位患者失访避免的成本为1025美元。包括监督人员费用在内，年度总费用增加到14 991美元。移动健康干预的年度成本增加了1046美元，导致每位患者的年度成本为2.35美元。在阈值分析中，如果PHW干预措施每年能够避免1.50名患者转向二线抗逆转录病毒治疗，则可以节省成本。其他艾滋病护理计划可能会发现这些干预费用负担得起。
A cost analysis study calculates resources needed to deliver an intervention and can provide useful information on affordability for service providers and policy-makers. We conducted cost analyses of both a peer health worker (PHW) and a mHealth (mobile phone) support intervention. Excluding supervisory staffing costs, total yearly costs for the PHW intervention was $8475, resulting in a yearly cost per patient of $8.74, per virologic failure averted cost of $189, and per patient lost to follow-up averted cost of $1025. Including supervisory staffing costs increased total yearly costs to $14,991. Yearly costs of the mHealth intervention were an additional $1046, resulting in a yearly cost per patient of $2.35. In a threshold analysis, the PHW intervention was found to be cost saving if it was able to avert 1.50 patients per year from switching to second-line antiretroviral therapy. Other AIDS care programs may find these intervention costs affordable.