Pharmacoeconomic evaluation of treatment effectiveness after introducing a client-oriented approach for patients with primary multidrug resistant tuberculosis

Abstract

Objective. The research purpose was to evaluate the cost efficiency of treating first diagnosed patients with multidrug resistant tuberculosis. Clinical and economic efficiency of the treatment was designed and investigated in introducing a client-oriented approach. Materials and methods. To solve the research problems we analyzed the official 2012-2014 annual statistical reports of Tuberculosis Control Service in Karelia Republic and 115 medical cards of adult patients, permanent residents of Karelia Republic who had undergone in- and out-patient treatment during 2012-2014 in the Republic Tuberculosis Clinic for the first diagnosed pulmonary TB with multidrug resistance. The costs for drugs and medical items, examinations, treatment and meal in the hospital were taken into account. Results. It was established that food packs halved the treatment expenditures per one patient with primary multidrug resistant TB from 1.4 million rubles to 700 thousand rubles from 2012 till 2014. The decrease in the costs indexes of treatment per one patient is achieved by in-hospital treatment without interrupting. The returns of investments into food packs made 17 rubles in 2013 and - 31 rubles in 2014. Conclusion. This indicator shows the profitability of investments into client-oriented methods of motivating patients by way of providing social food packs.