Cost effectiveness of DOTS and non-DOTS strategies for smear-positive pulmonary tuberculosis in Beijing.
The cost-effectiveness of DOTS (Directly Observed Treatment, short course) and non-DOTS strategies for smear-positive pulmonary tuberculosis in Beijing was evaluated. Cost calculation was based on the expenses of drugs, chest X-ray films, sputum smears and cultures for the patients. Effectiveness of the intervention was assessed in two aspects: direct benefits to the patients treated and indirect benefits to the others through reduced transmission of tuberculosis; disability adjusted life of year (DALY) was used as an index. The results showed that one DALY could be saved with 45.7 Yuan by DOTS and 471.4 Yuan by non-DOTS. DOTS is a good control strategy for smear-positive tuberculosis.
Xu
Q
Q
Department of Preventive Medicine, Jinzhou Medical College, Jinzhou 121001, China.
Jin
S G
SG
Zhang
L X
LX
D002681:China / Q000453:epidemiology; D003362:Cost-Benefit Analysis; D018432:Drug Resistance, Multiple; D006801:Humans; D011159:Population Surveillance; D014397:Tuberculosis, Pulmonary / Q000188:drug therapy / Q000191:economics* / Q000453:epidemiology