Khomenko A G, Punga V V, Rybka L N, Grishina T A, Migliori D B, Ambrosetti M, Ravilyone M, Grzemska M, Stoiunin M B, Danilova I D, Filippova L V
Probl Tuberk. 1998(3):9-13.
To execute the tuberculosis control programme in the Ivanovo Region, the authors calculated the cost of detection of a tuberculosis case at patients' referrals to a therapeutical-and-prophylactic institution for medical aid and during prophylactic X-ray fluographic examinations and the cost of tuberculosis cure while treating the patient at a hospital in the intensive treatment phase (2-3 months) and in the outpatient setting or at a day hospital by the intermittent method in the continued treatment phase. The costs calculated were compared with those obtained by early approaches. The cost of detection of a tuberculosis case was 1580.8 for referrals in 1996 and 4000 for X-ray fluographic prophylactic examinations. The costs of hospital tuberculosis cure (85% cure rates) only in the intensive treatment phase (for 2-3 months) and outpatient intermittent treatment (for 2-4 months) with and without meals were 2415.34 and 2142.17 respectively. If the efficiency is equal, the introduction of new approaches to organizing the detection and treatment tuberculosis cases may save 3877.7 for each cured tuberculosis case and 2419.2 for each patient detected.
为在伊万诺沃地区实施结核病控制项目，作者计算了在患者转诊至治疗与预防机构寻求医疗救助时以及在预防性X线荧光检查期间发现一例结核病病例的成本，以及在强化治疗阶段（2 - 3个月）于医院治疗患者时以及在持续治疗阶段在门诊或日间医院采用间歇疗法治疗时治愈结核病的成本。将计算出的成本与早期方法所获得的成本进行比较。1996年转诊时发现一例结核病病例的成本为1580.8，X线荧光预防性检查的成本为4000。仅在强化治疗阶段（2 - 3个月）以及门诊间歇治疗（2 - 4个月），含餐和不含餐情况下治愈医院结核病（治愈率85%）的成本分别为2415.34和2142.17。如果效率相同，采用新的结核病病例发现和治疗组织方法，每治愈一例结核病病例可节省3877.7，每发现一例患者可节省2419.2。
