مؤتمر
Cost determinants of tuberculosis management in a low-prevalence country
| العنوان: | Cost determinants of tuberculosis management in a low-prevalence country |
|---|---|
| المؤلفون: | Bocchino M., Greco S., Rosati Y., Mattioli G., Marruchella A., De Mori P., Bibbolino C., Girardi E., Squarcione S., SALTINI, CESARE |
| المساهمون: | Bocchino, M, Greco, S, Rosati, Y, Mattioli, G, Marruchella, A, De Mori, P, Bibbolino, C, Girardi, E, Squarcione, S, Saltini, C |
| بيانات النشر: | INT UNION AGAINST TUBERCULOSIS LUNG DISEASE (I U A T L D) PARIS |
| سنة النشر: | 2006 |
| المجموعة: | Universitá degli Studi di Roma "Tor Vergata": ART - Archivio Istituzionale della Ricerca |
| مصطلحات موضوعية: | Case outcome, Cost, Hospital care, Tuberculosis, tuberculostatic agent, adult, demography, drug cost, drug tolerance, female, fever, health care cost, hospital cost, hospitalization, human, Human immunodeficiency viru, major clinical study, male, medical record, multidrug resistance, priority journal, prognosi, review, sputum analysi, thorax radiography, tuberculosi, Aged, Antitubercular Agent, Italy, Middle Aged |
| الوصف: | SETTING: Division of respiratory medicine in a specialised infectious disease hospital in Rome, Italy. OBJECTIVE: Retrospective evaluation of tuberculosis (TB) care associated costs in an integrated in- and outpatient management programme. DESIGN: Review of the medical records of 92 human immunodeficiency virus negative TB cases admitted between September 2000 and May 2003. RESULTS: Length of in-hospital stay (45 +/- 35 days) was the major cost determinant, as hospitalisation accounted for almost 80% of the total costs of the case, with fixed bed-per-day charges amounting to 76% of hospital costs. Factors associated with higher costs were chest X-ray SUMMARY score, fever, sputum bacterial load and multidrug resistance (P < 0.05). Cure/treatment completion was achieved in 82% of patients entering the out-patient programme (63% of all cases). Homelessness, age and comorbidities were associated with unfavourable outcomes. CONCLUSIONS: A closely followed hospital-centred protocol carried out in a high-resource setting may produce acceptable cure/completion treatment rates. As a too high fraction of resources invested in TB control goes toward hospital costs, out-patient treatment strategies should be implemented. |
| نوع الوثيقة: | conference object |
| اللغة: | English |
| العلاقة: | ispartofbook:International Journal of Tuberculosis and Lung Disease; 35th World Conference on Lung Health of the International-Union-Against-Tuberculosis-and-Lung-Disease; volume:10; issue:2; firstpage:146; lastpage:152; http://hdl.handle.net/2108/56978Test |
| الإتاحة: | http://hdl.handle.net/2108/56978Test |
| رقم الانضمام: | edsbas.2A345E5C |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |