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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Cost effectiveness of community-based therapeutic care for children with severe acute malnutrition in Zambia: decision tree model. | Cost Effectiveness and Resource Allocation BioMed Central Research Cost effectiveness of community-based therapeutic care for children with severe acute malnutrition in Zambia decision tree model Max O Bachmann Open Access Address Medical School University of East Anglia Norwich NR4 7TJ UK Email Max O Bachmann - m.bachmann@uea.ac.uk Published 15 January 2009 Received 21 August 2008 Cost Effectiveness and Resource Allocation 2009 7 2 doi l0.ll86 l478-7547-7-2 Accepted 15 January 2009 This article is available from http www.resource-allocation.cOm content 7 1 2 2009 Bachmann licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Children aged under five years with severe acute malnutrition SAM in Africa and Asia have high mortality rates without effective treatment. Primary care-based treatment of SAM can have good outcomes but its cost effectiveness is largely unknown. Method This study estimated the cost effectiveness of community-based therapeutic care CTC for children with severe acute malnutrition in government primary health care centres in Lusaka Zambia compared to no care. A decision tree model compared the costs in year 2008 international dollars and outcomes of CTC to a hypothetical do-nothing alternative. The primary outcomes were mortality within one year and disability adjusted life years DALYs after surviving one year. Outcomes and health service costs of CTC were obtained from the CTC programme local health services and World Health Organization WHO estimates of unit costs. Outcomes of doing nothing were estimated from published African cohort studies. Probabilistic and deterministic sensitivity analyses were done. Results The mean cost of CTC per child was 203 95 confidence interval CI l39- 274 of
