新发传染病电子杂志2025，Vol.10Issue(2)：63-69,7.DOI:10.19871/j.cnki.xfcrbzz.2025.02.011
基于数字技术结核病防控管理的卫生经济学评价
Health economic evaluation of Tuberculosis management based on digital technology
李成坤 1王锦华 2刘志东 1陈浩 1何楚文 3李晓芬 4陈文杰 4林艳伟2
作者信息
- 1. 惠州市职业病防治院办公室,广东 惠州 516008
- 2. 广东医科大学公共卫生学院,广东 东莞 523808
- 3. 惠州市职业病防治院财务科,广东 惠州 516008
- 4. 惠州市职业病防治院结核病防治科,广东 惠州 516008
- 折叠
摘要
Abstract
Objective Evaluate the cost-effectiveness of the WeChat-based Integrated Mobile Management System for Tuberculosis Prevention and Control(refer to We-Supervision System)in tuberculosis control and prevention management.Method The study subjects were TB patients managed in Huizhou City from January 2019 to December 2023,with data sourced from the Huizhou TB Management System.A markov model was constructed to compare the cost-effectiveness of the We-Supervision system with two on-site supervision modes under the directly observed therapy shortcourse(DOTS)strategy.The model operates on an annual cycle over a 30-year time horizon.A 5%annual discount rate was used to discount costs and effects within the model,and net monetary benefit(NMB)was calculated for cost-effectiveness analysis.One-way and probabilistic sensitivity analyses were conducted to assess the impact of parameter uncertainty on the results.Result Compared with the two on-site management modes,the We-Supervision online management achieved a higher cure rate at a lower cost(with a cure rate of 0.4726 at an average cost of 3,681.50 RMB per person).Under the same cost,the effects(cure rates)of the two on-site management decreased by 0.0675 and 0.0831,respectively,compared to We-Supervision.Compared with the on-site management modes of medical staff home visits and patients visiting medical institutions,the NMB of We-Supervision online management were 8,015.39 RMB and 9,216.90 RMB,respectively.The effectiveness of various management strategies were the primary factors influencing the model outcomes.There was a 97.50%probability that the We-Supervision management is cost-effective,indicating that it has cost-effectiveness.Conclusion The We-Supervision System demonstrates cost-effective advantages in tuberculosis management by effectively reducing operational costs while achieving superior control outcomes,as a powerful supplement to the DOTS strategy,it can further improve the effect of tuberculosis prevention and control.关键词
数字技术/结核病/成本效果分析/马尔可夫模型Key words
Digital technology/Tuberculosis/Cost-effectiveness analysis/Markov model分类
医药卫生引用本文复制引用
李成坤,王锦华,刘志东,陈浩,何楚文,李晓芬,陈文杰,林艳伟..基于数字技术结核病防控管理的卫生经济学评价[J].新发传染病电子杂志,2025,10(2):63-69,7.
