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A Cost-benefit Analysis of a Proposed Immigrant Latent Tuberculosis Infection Screening Program for Cyprus -

机译:塞浦路斯拟议移民潜伏性结核感染筛查计划的成本效益分析-

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Introduction: The study explored the potential economic benefit of an expanded screening program of immigrants before entrance to Cyprus as a policy to reduce the overall cost of tuberculosis (TB). Thus, the aim of this study is to study whether screening all immigrants coming from countries (including European Union countries) with high incidence of tuberculosis would be in the economic interest of the Republic of Cyprus or not. Methods: In order to assess whether it could be economically beneficial for Cyprus to expand the screening checks for TB to all immigrants coming from high prevalence countries, a Cost-Benefit Analysis (CBA) was employed, and the Net Present Value (NPV) of the project was calculated. In order to assess for uncertainty, sensitivity analysis using different scenarios, was conducted. Results: The analysis has a fifteen year length of implementation period and the base year (Year 0) was 2011. The NPV was estimated at ?3,188,653 which is greater than zero; therefore, the expansion of screening diagnostic tests for TB to European citizens coming from countries with high prevalence of TB will have a significant benefit to the Cypriot economy and society. This result is also supported by the fact that all ?what-if scenarios? of the sensitivity analysis yielded a positive NPV. Conclusion: Our study concludes that testing all immigrants, including immigrants from high prevalence European countries that are not currently tested for TB, would be a cost-saving strategy to reduce the cost of treating TB in Cyprus.
机译:简介:该研究探讨了扩大进入塞浦路斯的移民筛查计划的潜在经济利益,这是降低结核病(TB)总成本的一项政策。因此,本研究的目的是研究筛查所有来自结核病高发国家(包括欧盟国家)的移民是否符合塞浦路斯共和国的经济利益。方法:为了评估塞浦路斯将结核病的筛查范围扩大到来自高流行国家的所有移民是否有经济效益,采用了成本效益分析(CBA),净现值(NPV)为该项目已计算。为了评估不确定性,使用了不同的方案进行了敏感性分析。结果:该分析的执行期为15年,基准年(0年)为2011年。NPV估计为3,188,653,大于零。因此,将结核病筛查诊断测试的范围扩大到来自结核病高发国家的欧洲公民,将对塞浦路斯的经济和社会产生重大利益。所有“假设情况”都支持这一结果。敏感性分析得出NPV为正。结论:我们的研究得出结论,对所有移民进行检查,包括目前尚未接受结核病检测的欧洲高流行欧洲国家的移民,将是降低塞浦路斯治疗结核病费用的节省成本的策略。

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