A cost-effectiveness study on a case-finding program of tuberculosis through screening those suspects with chronic cough symptoms in the rich rural areas / 中华流行病学杂志
Chinese Journal of Epidemiology
;
(12): 857-860, 2006.
Article
in Chinese
| WPRIM
| ID: wpr-261723
ABSTRACT
<p><b>OBJECTIVE</b>To study the feasibility and cost-effectiveness of a case-finding program on tuberculosis (TB) in richer rural areas.</p><p><b>METHODS</b>Screening was implemented every three months for a total period of 9 months, in rural areas with high case notification rates. Three villages, each with ten thousand population, were selected to carry out a household screening program. A suspect was defined as who coughed for more than 3 weeks. The suspect was then referred to further diagnosis in county TB dispensary to undergo chest X-ray and sputum test.</p><p><b>RESULTS</b>Of the 86,168 community population screened, 26 TB patients were identified with 7 of them were smear positive. The ratio of effectiveness vs. cost decreased on the second but slightly increased on the third screening program. The direct costs for the 3 screening programs were 6,312,397 and 1637 RMB respectively. Of total direct cost, 5.9% was paid by TB patients, whereas 35.9% was through financing of the county itself.</p><p><b>CONCLUSION</b>The community household screening program could achieve higher case detection rate than passive case-finding approach which could be used in richer areas with low case detection rate in China.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Sputum
/
Tuberculosis
/
Radiography, Thoracic
/
China
/
Family Characteristics
/
Mass Screening
/
Rural Health
/
Chronic Disease
/
Cost-Benefit Analysis
/
Cough
Type of study:
Diagnostic study
/
Evaluation studies
/
Health economic evaluation
/
Prognostic study
/
Screening study
Limits:
Humans
Country/Region as subject:
Asia
Language:
Chinese
Journal:
Chinese Journal of Epidemiology
Year:
2006
Type:
Article
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