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AIDS Treatments Efficiency Analysis Based on Cost Efficiency Data Envelopment Analysis Model

机译:基于成本效益数据包络分析模型的艾滋病治疗效率分析

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Three data envelopment analysis (DEA) models were used to analyse the relative efficiencies of four AIDS treatments in AIDS Clinical Trial Group (ACTG) Study 193A(1 309 patients in total, classified into 4 age groups). Results from the output-oriented BCC model show that Treatment 4 ( 600 mg of zidovudine plus 400 mg of didanosine plus 400 mg of nevirapine) is particularly efficient for age group 14-25, but not efficient for the older age groups; Treatment 1 (600 mg of zidovudine alternating monthly with 400 mg of didanosine)and Treatment 2 (600 mg of zidovudine plus 2.25 mg of zalcitabine) are efficient for the age groups 35-45 and 45- ; age group 25-35does not have a particularly efficient treatment, but Treatments 1 and 2 are relatively good. The cost efficiency BCC model, which takes the treatment cost into account, gives similar results as the output-oriented model. Results from the indirect output-oriented BCC model, which allows the replacement among medicines, show that the efficiency of Treatment 2 has greatly decreased compared with that of the output-oriented model, and a set of optimal medicine amounts for different age groups is obtained.
机译:在AIDS临床试验组(ACTG)193A研究中(共1 309例患者,分为4个年龄组),使用三种数据包络分析(DEA)模型来分析四种艾滋病治疗的相对效率。以产出为导向的BCC模型的结果表明,治疗4(600毫克齐多夫定加400毫克二羟肌苷加400毫克奈韦拉平)对14-25岁年龄组特别有效,但对老年年龄组无效;治疗1(600毫克齐多夫定每月交替服用400毫克二羟肌苷)和治疗2(600毫克齐多夫定加2.25毫克扎西他滨)对35-45岁和45-年龄组有效; 25-35岁年龄组没有特别有效的治疗方法,但是治疗1和2相对较好。考虑到处理成本的成本效率BCC模型给出的结果与面向产出的模型相似。间接输出导向的BCC模型的结果允许在药物之间进行替换,结果表明,与输出导向模型相比,治疗2的效率大大降低,并且获得了针对不同年龄组的一组最佳药物量。

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