支持乌干达健康福利包修订:一种约束优化方法

Supporting the revision of the health benefits package in Uganda: A constrained optimisation approach

Health Economics · 2023
被引 10
人大 A-

中文导读

展示如何用线性约束优化方法设计健康福利包,在乌干达案例中最大化净伤残调整生命年(DALYs)的避免,并评估放松卫生系统约束的边际价值。

Abstract

This study demonstrates how the linear constrained optimization approach can be used to design a health benefits package (HBP) which maximises the net disability adjusted life years (DALYs) averted given the health system constraints faced by a country, and how the approach can help assess the marginal value of relaxing health system constraints. In the analysis performed for Uganda, 45 interventions were included in the HBP in the base scenario, resulting in a total of 26.7 million net DALYs averted. When task shifting of pharmacists' and nutrition officers' tasks to nurses is allowed, 73 interventions were included in the HBP resulting in a total of 32 million net DALYs averted (a 20% increase). Further, investing only $58 towards hiring additional nutrition officers' time could avert one net DALY; this increased to $60 and $64 for pharmacists and nurses respectively, and $100,000 for expanding the consumable budget, since human resources present the main constraint to the system.

健康效益包约束优化残疾调整生命年乌干达