尼日利亚阿南布拉州基于人群的前列腺特异性抗原质量检测早期检测前列腺癌症的成本-收益分析:健康提供者的观点

I. Umeh, C. Ogbuagu, C. Okafor, V. Abhulimen, Joseph Abiahu, A. Biambo, A. Isah, O. Ekwunife
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引用次数: 0

摘要

目的:我们从提供者的角度对基于人群的前列腺特异性抗原(PSA)大规模检测前列腺癌(PCa)进行了成本效益分析,以进一步了解该计划在扩大规模时的可持续性。材料与方法:采用横断面研究设计。使用基于活动的成本和参与者的支付意愿(WTP)分别估算了基于人群的特异性抗原大量检测的成本和收益。这项研究是在尼日利亚阿南布拉州的一个初级保健设施进行的。研究共招募了412名40至74岁之间的无症状男性,他们在过去五年内没有接受过PSA筛查。在初级卫生保健机构对前列腺癌进行了为期一个月的基于人群的PSA大规模筛查。以人群为基础的PSA大规模检测的成本以成本/男性筛查来表示,而收益以参与者的最小WTP分析量来衡量。效益成本比(BCR)作为主要结果,其值高于1表示项目是自我可持续的。结果:筛选成本/男性为13.43±2.26美元,计算BCR时参与者WTP为3.99±4.49美元,BCR比为0.3。结论:估计的BCR表明,如果资金完全基于参与者的自付费用,该计划将无法持续。其他筹资机制,如捐助资金,将是维持尼日利亚此类公共卫生方案的必要条件。
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Cost-benefit analysis of a population-based prostate-specific antigen mass testing for early detection of prostate cancer in Anambra State, Nigeria: A health provider's perspective
Aims: We conducted a cost-benefit analysis of a population-based prostate-specific antigen (PSA) mass testing for prostate cancer (PCa) from a provider's perspective to give further insights into the programme's sustainability at scale-up. Materials and Methods: A cross-sectional study design was adopted. The cost and benefit of the population-based-specific antigen mass testing were estimated using activity-based costing and participants' willingness to pay (WTP), respectively. The study was conducted in a primary health-care facility in Anambra State, Nigeria. A total of 412 asymptomatic males between 40 and 74 years who had not had a PSA screening within the past five years were recruited for the study. A one-month population-based PSA mass screening for PCa was performed at the primary health-care facility. The cost of population-based PSA mass testing was presented as cost/male screened while benefit was measured as the participants' minimum WTP analysis amount. Benefit-cost ratio (BCR) served as the primary outcome, with values higher than one signifying a self-sustainable programme. Results: The cost/male screened was USD 13.43 ± 2.26, while the participants' WTP amount of US$3.99 ± 4.49 to calculate the BCR gave a BCR ratio of 0.3. Conclusion: The estimated BCR showed that the programme would not be sustainable if funding were based solely on participants' out-of-pocket expenses. Other financing mechanisms, such as donor funds, will be necessary to sustain such public health programmes in Nigeria.
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来源期刊
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发文量
65
审稿时长
20 weeks
期刊介绍: The Nigerian Journal of Medicine publishes articles on socio-economic, political and legal matters related to medical practice; conference and workshop reports and medical news.
期刊最新文献
Knowledge of common cardiovascular diseases and its risk factors among members of a community in South-South Nigeria Prevalence, associated factors, and outcomes of singleton preterm births at a Tertiary Hospital in Port-Harcourt, Nigeria Assessment of factors affecting treatment adherence in patients with chronic kidney disease in Nigeria: A survey from a tertiary health-care centre Oral Neurofibroma: 10-Year Experience in Enugu A community survey of the vaccination status of under-five children in a community in Southern Nigeria
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