Cost-effectiveness of home-based vs. in-hospital treatment of paediatric tuberculous meningitis.
Int J Tuberc Lung Dis
; 22(10): 1188-1195, 2018 10 01.
Article
em En
| MEDLINE
| ID: mdl-30236187
ABSTRACT
SETTING:
Cape Town, South Africa, 2014.OBJECTIVE:
To assess the societal costs and cost-effectiveness of home-based vs. in-hospital treatment of paediatric tuberculous meningitis.DESIGN:
This was an economic evaluation from a societal perspective using probabilistic analysis. Health care, informal care, lost productivity costs and costs in other sectors, health-related quality of life (HRQoL) and family impact were assessed during interviews with care givers, children, medical staff and management.RESULTS:
Societal costs for home-based treatment were USD3857, and USD28 043 for in-hospital treatment. Home-based vs. in-hospital treatment HRQoL scores were 90.9% vs. 84.5%, while family impact scores were 94.8% vs. 73.1%. The point estimate of the incremental cost-effectiveness ratio indicated that improving HRQoL and family impact by 1% was associated with a saving of respectively USD3726 and USD1140 for home-based vs. in-hospital treatment. The probability that home-based treatment was less expensive and more effective than in-hospital treatment was 96.3% for HRQoL and 100% for family impact.CONCLUSION:
Societal costs of home-based treatment were lower than for in-hospital treatment. Children treated at home had a better HRQoL and family impact scores. Home-based treatment was a cost-effective alternative to in-hospital treatment of drug-susceptible tuberculous meningitis.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Tuberculose Meníngea
/
Custos de Cuidados de Saúde
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Serviços de Assistência Domiciliar
/
Hospitalização
Tipo de estudo:
Health_economic_evaluation
/
Qualitative_research
Limite:
Child
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Child, preschool
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Female
/
Humans
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Infant
/
Male
País/Região como assunto:
Africa
Idioma:
En
Revista:
Int J Tuberc Lung Dis
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
África do Sul