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| Author(s): |
Michela Prestes Gomes
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | Ribeirão Preto. |
| Institution: | Universidade de São Paulo (USP). Faculdade de Medicina de Ribeirão Preto (PCARP/BC) |
| Defense date: | 2013-03-27 |
| Examining board members: |
Antonio Ruffino Netto;
Aldaísa Cassanho Forster;
Ione Carvalho Pinto
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| Advisor: | Antonio Ruffino Netto |
| Abstract | |
Tuberculosis (TB) is an infectious disease caused by Kochs bacillus (Mycobacterium tuberculosis), most frequently presented as pulmonary tuberculosis. It is fully curable with the right treatment. TB is an important cause of death worldwide and presents high prevalence and incidence in Brazil, one of the countries with the highest number of cases. The aim of this study was to evaluate the cost-effectiveness of tuberculosis treatment (directly observed treatment DOT, and self-administered treatment SAT), searching evidence in order to estimate direct (in the Western district of Ribeirão Preto-SP) and indirect (for some regions of this city) costs. Due to the fact TB is associated with social and economical conditions (including in Brazil), an analysis of costs generated by TB was carried out, by observing the deficiencies of organizations and management of the health system. A descriptive epidemiological study of an evaluative research was carried out to collect socio-demographic data and characteristics of evolution and follow-up of TB treatment, to estimate the direct costs through the analysis of medical forms of patients, and indirect costs through interviews with patients. In order to evaluate the cost-effectiveness of DOT and SAT strategies for TB treatment, the quality of data was analyzed and estimates of direct and indirect costs were calculated. The results show a negative incremental cost-effectiveness ratio (ICER) of 8,0562 for DOTS strategy compared to SAT strategy. (AU) | |
| FAPESP's process: | 11/04135-2 - Tuberculosis: analysis of cost effectiveness |
| Grantee: | Michela Prestes Gomes |
| Support Opportunities: | Scholarships in Brazil - Master |