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The incremental cost-effectiveness of engaging private practitioners to refer tuberculosis suspects to DOTS services in Jogjakarta, Indonesia

Y Mahendradhata, A Probandari, RA Ahmad, A Utarini, L Trisnantoro, L Lindholm, MJ van der Werf, M Kimerling, M Boelaert, B Johns, et al. (2010) AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE. 82(6). p.1131-1139
abstract
We aimed to evaluate the incremental cost-effectiveness of engaging private practitioners (PPs) to refer tuberculosis (TB) suspects to public health centers in Jogjakarta, Indonesia. Effectiveness was assessed for TB suspects notified between May 2004 and April 2005. Private practitioners referred 1,064 TB suspects, of which 57.5% failed to reach a health center. The smear-positive rate among patients reaching a health center was 61.8%. Two hundred eighty (280) out of a total of 1,306 (21.4%) new smear-positive cases were enrolled through the PPs strategy. The incremental cost-effectiveness ratio per smear-positive case successfully treated for the PPs strategy was US$351.66 (95% CI 322.84-601.33). On the basis of an acceptability curve using the National TB control program's willingness-to-pay threshold (US$448.61), we estimate the probability that the PPs strategy is cost-effective at 66.8%. The strategy of engaging PPs was incrementally cost-effective, although under specific conditions, most importantly a well-functioning public directly observed treatment, short-course (DOTS) program.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
INDIA, TB CONTROL, PARTNERSHIP, NEPAL, MIX, COLLABORATION, CARE, PROGRAM
journal title
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
Am. J. Trop. Med. Hyg.
volume
82
issue
6
pages
1131 - 1139
Web of Science type
Article
Web of Science id
000278462600028
JCR category
TROPICAL MEDICINE
JCR impact factor
2.446 (2010)
JCR rank
5/19 (2010)
JCR quartile
2 (2010)
ISSN
0002-9637
DOI
10.4269/ajtmh.2010.09-0447
language
English
UGent publication?
no
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1113908
handle
http://hdl.handle.net/1854/LU-1113908
date created
2011-02-01 14:22:51
date last changed
2016-12-19 15:45:26
@article{1113908,
  abstract     = {We aimed to evaluate the incremental cost-effectiveness of engaging private practitioners (PPs) to refer tuberculosis (TB) suspects to public health centers in Jogjakarta, Indonesia. Effectiveness was assessed for TB suspects notified between May 2004 and April 2005. Private practitioners referred 1,064 TB suspects, of which 57.5\% failed to reach a health center. The smear-positive rate among patients reaching a health center was 61.8\%. Two hundred eighty (280) out of a total of 1,306 (21.4\%) new smear-positive cases were enrolled through the PPs strategy. The incremental cost-effectiveness ratio per smear-positive case successfully treated for the PPs strategy was US\$351.66 (95\% CI 322.84-601.33). On the basis of an acceptability curve using the National TB control program's willingness-to-pay threshold (US\$448.61), we estimate the probability that the PPs strategy is cost-effective at 66.8\%. The strategy of engaging PPs was incrementally cost-effective, although under specific conditions, most importantly a well-functioning public directly observed treatment, short-course (DOTS) program.},
  author       = {Mahendradhata, Y and Probandari, A and Ahmad, RA and Utarini, A and Trisnantoro, L and Lindholm, L and van der Werf, MJ and Kimerling, M and Boelaert, M and Johns, B and Van Der Stuyft, Patrick},
  issn         = {0002-9637},
  journal      = {AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE},
  keyword      = {INDIA,TB CONTROL,PARTNERSHIP,NEPAL,MIX,COLLABORATION,CARE,PROGRAM},
  language     = {eng},
  number       = {6},
  pages        = {1131--1139},
  title        = {The incremental cost-effectiveness of engaging private practitioners to refer tuberculosis suspects to DOTS services in Jogjakarta, Indonesia},
  url          = {http://dx.doi.org/10.4269/ajtmh.2010.09-0447},
  volume       = {82},
  year         = {2010},
}

Chicago
Mahendradhata, Y, A Probandari, RA Ahmad, A Utarini, L Trisnantoro, L Lindholm, MJ van der Werf, et al. 2010. “The Incremental Cost-effectiveness of Engaging Private Practitioners to Refer Tuberculosis Suspects to DOTS Services in Jogjakarta, Indonesia.” American Journal of Tropical Medicine and Hygiene 82 (6): 1131–1139.
APA
Mahendradhata, Y, Probandari, A., Ahmad, R., Utarini, A., Trisnantoro, L., Lindholm, L., van der Werf, M., et al. (2010). The incremental cost-effectiveness of engaging private practitioners to refer tuberculosis suspects to DOTS services in Jogjakarta, Indonesia. AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 82(6), 1131–1139.
Vancouver
1.
Mahendradhata Y, Probandari A, Ahmad R, Utarini A, Trisnantoro L, Lindholm L, et al. The incremental cost-effectiveness of engaging private practitioners to refer tuberculosis suspects to DOTS services in Jogjakarta, Indonesia. AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE. 2010;82(6):1131–9.
MLA
Mahendradhata, Y, A Probandari, RA Ahmad, et al. “The Incremental Cost-effectiveness of Engaging Private Practitioners to Refer Tuberculosis Suspects to DOTS Services in Jogjakarta, Indonesia.” AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE 82.6 (2010): 1131–1139. Print.