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Tuberculosis active case finding in Cambodia: a pragmatic cost-effectiveness comparison of three implementation models

机译:柬埔寨结核病活跃病例调查:三种实施模式的实用成本效益比较

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摘要

BackgroundGlobally, almost 40% of tuberculosis (TB) patients remain undiagnosed, and those that are diagnosed often experience prolonged delays before initiating correct treatment, leading to ongoing transmission. While there is a push for active case finding (ACF) to improve early detection and treatment of TB, there is extremely limited evidence about the relative cost-effectiveness of different ACF implementation models. Cambodia presents a unique opportunity for addressing this gap in evidence as ACF has been implemented using different models, but no comparisons have been conducted. The objective of our study is to contribute to knowledge and methodology on comparing cost-effectiveness of alternative ACF implementation models from the health service perspective, using programmatic data, in order to inform national policy and practice.
机译:背景技术在全球范围内,将近40%的结核病(TB)患者仍未得到诊断,被诊断的患者在开始正确治疗之前通常会经历长时间的延误,从而导致持续的传播。尽管积极寻求主动病例发现(ACF)来改善结核病的早期发现和治疗,但是关于不同ACF实施模型的相对成本效益的证据却非常有限。柬埔寨为解决这一证据差距提供了独特的机会,因为已经使用了不同的模型来实施ACF,但是尚未进行比较。我们的研究目标是通过使用规划数据,为从卫生服务角度比较替代性ACF实施模式的成本效益提供知识和方法,以为国家政策和实践提供参考。

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