Research Triangle Institute, Durham, NC 27709, USA.
Epidemiol Infect. 2012 Mar;140(3):500-9. doi: 10.1017/S0950268811000513. Epub 2011 Apr 18.
Economic analyses of cholera immunization programmes require estimates of the costs of cholera. The Diseases of the Most Impoverished programme measured the public, provider, and patient costs of culture-confirmed cholera in four study sites with endemic cholera using a combination of hospital- and community-based studies. Families with culture-proven cases were surveyed at home 7 and 14 days after confirmation of illness. Public costs were measured at local health facilities using a micro-costing methodology. Hospital-based studies found that the costs of severe cholera were US$32 and US$47 in Matlab and Beira. Community-based studies in North Jakarta and Kolkata found that cholera cases cost between US$28 and US$206, depending on hospitalization. Patients' cost of illness as a percentage of average monthly income were 21% and 65% for hospitalized cases in Kolkata and North Jakarta, respectively. This burden on families is not captured by studies that adopt a provider perspective.
经济分析霍乱免疫规划需要估计霍乱的成本。最贫困疾病项目使用医院和社区相结合的研究方法，在四个地方性霍乱研究点测量了经培养确诊霍乱的公共、提供者和患者成本。在确认患病后 7 天和 14 天，在家中对有培养确诊病例的家庭进行了调查。使用微观成本核算方法在当地卫生设施中测量公共成本。在马太尔和贝拉的医院研究发现，严重霍乱的成本分别为 32 美元和 47 美元。在北雅加达和加尔各答的社区研究发现，霍乱病例的费用在 28 美元至 206 美元之间，具体取决于住院情况。住院患者的疾病负担占平均月收入的百分比，在加尔各答和北雅加达分别为 21%和 65%。这种对家庭的负担是那些采用提供者视角的研究无法捕捉到的。
