The Cost of Saving a Child's Life: A Cost-Effectiveness Analysis of a Pediatric Operating Room in Uganda
Başlık:
The Cost of Saving a Child's Life: A Cost-Effectiveness Analysis of a Pediatric Operating Room in Uganda
Yazar:
Yap, Ava Chwan Lee, author.
ISBN:
9780438131996
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (86 pages)
Genel Not:
Source: Dissertation Abstracts International, Volume: 79-11(E), Section: B.
Advisors: Doruk E. Ozgediz; Reza Yaesoubi.
Özet:
This study examines the cost-effectiveness of constructing a dedicated pediatric operating room (OR) in Uganda, a country where access to surgical care is limited to 4 pediatric surgeons serving a population of over 20 million children under 15 years of age.
A decision tree model projected the cost and disability-adjusted life-years (DALY) averted by a Ugandan pediatric OR. OR cost data were collected by obtaining equipment price lists, anesthetic and operative reports, government salary scales. A patient family survey was administered over 6 months to collect out-of-pocket (OOP) costs. The OR case-log, pediatric surgical ward database and literature review informed patients' outcomes. A Monte Carlo simulation modelled the incremental cost-effectiveness ratio (ICER) of a pediatric OR. One-way and probabilistic sensitivity analysis was performed to assess parameter uncertainty. Net monetary benefit was calculated using the value of a statistical life approach.
Our model of a dedicated pediatric OR averted a total of 3004 DALYs in a year (95% uncertainty interval or UI 2,928 -3,080) and costed $240,526 (95% UI 236,264-244,789) to install and maintain for a year. The pediatric operating room had an ICER of $80.06 per DALY averted (95% UI 77.77-80.82), or $4,987.87 (95% UI 4,845.08-5,035.08) per life saved based on the country's average life expectancy in 2015. These values were well within the WHO guidelines of the cost-effectiveness threshold. The net economic benefit was $2,392,338 in a year, or $6,428 per patient. The model remained robust with one-way and probabilistic sensitivity analyses.
These findings support the construction and maintenance of a pediatric operating room in Uganda as a cost-effective, worthwhile investment, endorsing future decisions to enhance pediatric surgical capacity in the resource-limited settings of Sub-Saharan Africa.
Notlar:
School code: 0265
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
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XX(688466.1) | 688466-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
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