Bengey, Daisy, Thapa, Anchal, Dixit, Kritika et al. (13 more authors) (2023) Comparing cross-sectional and longitudinal approaches to Tuberculosis Patient Cost Surveys using Nepalese data:Tuberculosis cost survey approaches. Health Policy and Planning. czad037. ISSN 1460-2237
Abstract
The World Health Organization has supported the development of national tuberculosis (TB) patient cost surveys to quantify the socio-economic impact of TB in high-burden countries. However, methodological differences in study design (e.g. cross-sectional vs longitudinal) can generate different estimates making the design and impact evaluation of socioeconomic protection strategies difficult. The objective of the study was to compare the socioeconomic impacts of TB estimated by applying cross-sectional or longitudinal data collections in Nepal. We analysed data from a longitudinal costing survey (patients interviewed at three-time points) conducted between April 2018 and October 2019. We calculated both mean and median costs from patients interviewed during the intensive (cross-sectional 1) and continuation phases of treatment (cross-sectional 2). We then compared costs, the prevalence of catastrophic costs and the socio-economic impact of TB generated by each approach. There were significant differences in the costs and social impacts calculated by each approach. The median total cost (intensive plus continuation phases) was significantly higher for the longitudinal compared to cross-sectional 2 (US$119.42 vs 91.63, P
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2023 |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Depositing User: | Pure (York) |
Date Deposited: | 14 Jun 2023 09:20 |
Last Modified: | 08 Feb 2025 00:50 |
Published Version: | https://doi.org/10.1093/heapol/czad037 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1093/heapol/czad037 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:200429 |
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