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运用数据包络分析评估中低收入国家母婴 HIV 预防的效率。

Assessing the efficiency of mother-to-child HIV prevention in low- and middle-income countries using data envelopment analysis.

机构信息

Faculty of Economics, University of Algarve, 8005-139, Faro, Portugal.

出版信息

Health Care Manag Sci. 2012 Sep;15(3):206-22. doi: 10.1007/s10729-012-9196-9. Epub 2012 Feb 22.

Abstract

AIDS is one of the most significant health care problems worldwide. Due to the difficulty and costs involved in treating HIV, preventing infection is of paramount importance in controlling the AIDS epidemic. The main purpose of this paper is to explore the potential of using Data Envelopment Analysis (DEA) to establish international comparisons on the efficiency of implementation of HIV prevention programmes. To do this we use data from 52 low- and middle-income countries regarding the prevention of mother-to-child transmission of HIV. Our results indicate that there is a remarkable variation in the efficiency of prevention services across nations, suggesting that a better use of resources could lead to more and improved services, and ultimately, prevent the infection of thousands of children. These results also demonstrate the potential strategic role of DEA for the efficient and effective planning of scarce resources to fight the epidemic.

摘要

艾滋病是全球最重要的卫生保健问题之一。由于治疗 HIV 感染的难度和费用很高,因此在控制艾滋病流行方面,预防感染至关重要。本文的主要目的是探讨使用数据包络分析(DEA)对 HIV 预防规划实施效率进行国际比较的潜力。为此,我们使用了 52 个低收入和中等收入国家在预防母婴传播 HIV 方面的数据。研究结果表明,各国预防服务的效率存在显著差异,这表明更好地利用资源可以带来更多和更好的服务,最终可以防止成千上万的儿童感染。这些结果还表明,DEA 在有效和高效规划稀缺资源以抗击艾滋病方面具有潜在的战略作用。

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