Hsairi Mohamed, Ben Braham Mehdi, Gamara Dhikrayet, Fourati Rachid, Abid Faouzi, Tritar Fatma, Charfi Mohamed Ridha
Tunis Med. 2016 Oct;94(10):604-611.
Tuberculosis (TB) infects one third of the world population. Its economic impact is important, affecting the global economy in the World.
To determine the economic costs related to tuberculosis in Tunisia.
Calculations were made for the reference year 2013; we covered all cost components of the disease, which are related to program management, BCG vaccination, health workers training, social mobilization, screening, chemoprophylaxis, and tuberculosis care. With the exception of costs related to care, which were the subject of a specific survey, the costs of other categories were obtained from the National TB Control Program.
The cost of the different components related to the management, prevention, screening and tuberculosis care in 2013 amounted 504688,000DT. The cost of care represented 80.0% of total costs (6807 808,000DT) ; cost related to program management represented 13.2% (1 121 580,00 DT) and the BCG vaccination 6.0% e (512 300,00DT) The average cost per patient was 1447,360 DTin 2013.
Reducing the cost of tuberculosis, would involve reducing diagnostic delay. It is also recommended to reduce hospitalization recourse, and prevent multidrug resistance which lead to additional expenditures.
结核病感染了世界三分之一的人口。其经济影响重大，对全球经济产生影响。
确定突尼斯与结核病相关的经济成本。
对2013年参考年份进行了计算；我们涵盖了该疾病的所有成本组成部分，这些成本与项目管理、卡介苗接种、卫生工作者培训、社会动员、筛查、化学预防和结核病护理有关。除了护理相关成本（这是一项特定调查的主题）外，其他类别的成本来自国家结核病控制项目。
2013年与结核病管理、预防、筛查和护理相关的不同组成部分的成本总计504688000第纳尔。护理成本占总成本的80.0%（6807808000第纳尔）；与项目管理相关的成本占13.2%（112158000第纳尔），卡介苗接种占6.0%（51230000第纳尔）。2013年每位患者的平均成本为1447360第纳尔。
降低结核病成本将涉及减少诊断延迟。还建议减少住院次数，并预防导致额外支出的多重耐药性。
