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
Dans Zh
| WPRIM
| ID: wpr-261723
Responsable en Bibliothèque :
WPRO
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>
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Expectoration
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Tuberculose
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Radiographie thoracique
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Chine
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Caractéristiques familiales
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Dépistage de masse
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Santé en zone rurale
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Maladie chronique
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Analyse coût-bénéfice
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Toux
Type d'étude:
Diagnostic_studies
/
Evaluation_studies
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Health_economic_evaluation
/
Prognostic_studies
/
Screening_studies
Limites du sujet:
Humans
Pays comme sujet:
Asia
langue:
Zh
Texte intégral:
Chinese Journal of Epidemiology
Année:
2006
Type:
Article