Incremental cost-effectiveness of improving treatment results among migrant tuberculosis patients in Shanghai
OBJECTIVE: To assess the incremental cost-effectiveness of these two projects.
METHODS: Case study. Costs were assessed from a societal perspective. The primary measure of effectiveness was the treatment completion rate. The incremental cost-effectiveness ratio was calculated as the additional cost of the intervention divided by the additional percentage of patients completing treatment compared to controls.
RESULTS: Post intervention, the treatment completion rates in the COMDIS and Global Fund projects were respectively 89% and 88%, 17% and 16% higher than in the control district (76%). For one additional per cent of patients to complete treatment, the additional cost of the COMDIS intervention was US$1891, 91% lower than that of the Global Fund intervention (US$21 904).
CONCLUSION: The intervention that addressed the financial barriers of poor patients was more cost-effective than the comprehensive intervention that provided assistance to both patients and providers. Further study is needed to understand the process of interventions prior to wider scale-up.
Keywords: economic evaluation; financial incentives; treatment completion; tuberculosis
Document Type: Research Article
Affiliations: 1: Communicable Disease Research Consortium China Programme, Nuffield Centre for International Health and Development, University of Leeds, Shenzhen, China; Institute for International Health and Development, Queen Margaret University, Edinburgh, UK 2: School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China 3: Institute for International Health and Development, Queen Margaret University, Edinburgh, UK 4: Communicable Disease Research Consortium China Programme, Nuffield Centre for International Health and Development, University of Leeds, Shenzhen, China 5: Shanghai Changning District Centre for Disease Control and Prevention, Shanghai, China 6: Shanghai Centre for Disease Control and Prevention, Shanghai, China 7: Shanghai Zhabei District Centre for Health Technology and Information, Shanghai, China 8: Nuffield Centre for International Health and Development, University of Leeds, Leeds, UK
Publication date: 01 August 2013
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