Academic Journal
Comparison of clinical and cost-effectiveness of two strategies using mobile digital x-ray to detect pulmonary tuberculosis in rural India
| العنوان: | Comparison of clinical and cost-effectiveness of two strategies using mobile digital x-ray to detect pulmonary tuberculosis in rural India |
|---|---|
| المؤلفون: | Bornali Datta, Ashish Kumar Prakash, David Ford, Praveen K. Tanwar, Pinky Goyal, Poulomi Chatterjee, Smita Vipin, Anand Jaiswal, Naresh Trehan, Kavita Ayyagiri |
| المصدر: | BMC Public Health, Vol 19, Iss 1, Pp 1-8 (2019) |
| بيانات النشر: | BMC, 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Public aspects of medicine |
| مصطلحات موضوعية: | Public-private partnership, Active case finding, Tuberculosis, digital x-ray, Public aspects of medicine, RA1-1270 |
| الوصف: | Abstract Background Medanta - The Medicity, a multi-super specialty corporate hospital in Gurugram, Haryana launched a “TB-Free Haryana” Campaign; mobile van equipped with a digital CXR machine to screen patients with presumptive Tuberculosis (TB). Objectives: In this study, we aimed to assess the (1) yield and cost analysis of two strategies using mobile digital x-ray to detect Pulmonary TB in rural Haryana. Methods An observational study was conducted on all individuals screened by either of the two case finding strategies using a mobile x-ray unit (MXU) mounted on a mobile van in District Mewat, Haryana during Jan-March 2016. Results Strategy 1: Out of 121 smear negative cases, x-rays were suggestive of TB in 39(32%), of which 24 were started on TB treatment. Cost of identifying a smear negative TB was US$ 32. Strategy 2: Out of 596 presumptive TB, chest x-rays were suggestive of TB in 108 (18%), of which 67 were started on TB treatment (56 were smear negative TB). Cost of detecting any case of TB was US$ 08 (1 USD = 64 INR). Conclusion The study reports a new initiative within a PPM model to improve the diagnosis of PTB by filling the gap in the current diagnostic infrastructure. We believe there is potential for replication of strategy 2 model in other states, although further evidence is required. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1471-2458 |
| Relation: | http://link.springer.com/article/10.1186/s12889-019-6421-1; https://doaj.org/toc/1471-2458 |
| DOI: | 10.1186/s12889-019-6421-1 |
| URL الوصول: | https://doaj.org/article/111edb2dddc1411b8133c81924bb4cc7 |
| رقم الانضمام: | edsdoj.111edb2dddc1411b8133c81924bb4cc7 |
| قاعدة البيانات: | Directory of Open Access Journals |
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