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Cost-Effectiveness Jejaring BP4 dengan Puskesmas dalam Penanganan Tuberkulosis
Since the implementation of DOTS strategy in hospitals, lung clinic and private practitiners in a network with health centres in Yogyakarta (or PPM-DOTS network), the number of TB cases identified and treated has been gradually increasing from the year 2000. However, the cost-efectiveness of diffeent PPm-DOTS strategies has not yet been studied. This study aimed to determine cost Since the implementation of DOTS strategy in hospitals lung clinic and private oractitioners in a network with health centers I Yogyakarta (or PPM-DOTS network), the number of TB cases -effectiveness of the PPM-DOTS models for lung clinic in Yogyakarta. A cross-sectional survey design was employet. Two models for TB case management were compared: patients diagnosed and treated in lung clinic (model 1) and patients diagnosed in lung clinic then referred for treatment to the health centre (model 2. Each model nvolved 30 patients. Cost was analysed from the patient’s perspective, i.e. total cost for diagnosis and treatment, and calculated as cost per patient. Effectiveness was defined as percentage of smear positive cases cured. Cost-efectivenes was thus calculated as cost per patient divided by the number smear positive cases cured. For model 1, the cost for iagnosis was Rp.140.000,- lower tan the cost for model 2 (i.e. Rp.209.000,-). While for treatment cost, model 1 was higher than model 2 (Rp.221.000,- and Rp.102.00,- respectively). From the patent perspective. TB case management a lung clinic (model 1) was as cost-effective as at lung clinic in a network with health centre for treatment.
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