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首页> 外文期刊>AIDS care. >The cost effectiveness of integrated care for people living with HIV including antiretroviral treatment in a primary health care centre in Bujumbura, Burundi.
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The cost effectiveness of integrated care for people living with HIV including antiretroviral treatment in a primary health care centre in Bujumbura, Burundi.

机译：在布隆迪布琼布拉的初级卫生保健中心为艾滋病毒携带者提供综合治疗的成本效益，包括抗逆转录病毒治疗。

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The incremental cost effectiveness of an integrated care package (i.e., medical care including antiretroviral therapy (ART) and other services such as psychological and social support) for people living with HIV/AIDS was calculated in a not-for-profit primary health care centre in Bujumbura run by Society of Women against AIDS-Burundi (SWAA-Burundi), an African non-governmental organisation (NGO). Results are expressed as cost-effectiveness ratio 2007, constant USDollars per disability-adjusted life year (DALY) averted. Unit costs are estimated from the NGO's accounting data and activity reports, healthcare utilisation is estimated from the medical records of a cohort of 149 patients. Effectiveness is modelled on the survival of this cohort, using standard calculation methods. The incremental cost of integrated care for people living with HIV/AIDS in the Bujumbura health centre of SWAA-Burundi is 258 USD per DALY averted. The package of care provided by SWAA-Burundi is therefore a very cost-effective intervention in comparison with other interventions against HIV/AIDS that include ART. It is however, less cost effective than other types of interventions against HIV/AIDS, such as preventive activities.
机译：在非营利性初级卫生保健中心计算出了针对艾滋病毒/艾滋病患者的综合保健方案（即包括抗逆转录病毒疗法（ART）的医疗保健以及其他服务，例如心理和社会支持）的增量成本效益。由非洲非政府组织布隆迪妇女反对艾滋病协会（SWAA-布隆迪）负责。结果表示为2007年成本效益比，每位残疾调整生命年（DALY）避免了固定的美元汇率。从NGO的会计数据和活动报告中估算单位成本，从149名患者的医疗记录中估算医疗保健利用率。使用标准计算方法，以该队列的生存为模型。在SWAA-布隆迪的布琼布拉健康中心，为艾滋病毒/艾滋病感染者提供综合护理的每增加一个DALY需增加258美元。因此，与其他抗艾滋病毒/艾滋病干预措施（包括抗逆转录病毒疗法）相比，SWAA-布隆迪提供的一揽子护理是一种非常划算的干预措施。但是，与其他类型的艾滋病毒/艾滋病干预措施（例如预防活动）相比，这种方法的成本效益较低。

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