Providing financial incentives to rural-to-urban tuberculosis migrants in Shanghai an intervention study 英文参考文献.docVIP

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Providing financial incentives to rural-to-urban tuberculosis migrants in Shanghai an intervention study 英文参考文献.doc

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Providing financial incentives to rural-to-urban tuberculosis migrants in Shanghai an intervention study 英文参考文献

Weietal.InfectiousDiseasesofPoverty2012,1:9 /content/1/1/9 RESEARCH ARTICLE OpenAccess Providingfinancialincentivestorural-to-urban tuberculosismigrantsinShanghai:an interventionstudy XiaolinWei1,GuanyangZou2*,JiaYin2,JohnWalley3,HuaixiaYang4,MeravKliner3andJianMei5 Abstract Background:Financialissuesaremajorbarriersforrural-to-urbanmigrantsaccessingtuberculosis(TB)careinChina. ThispaperdiscussestheeffectivenessofprovidingfinancialincentivestomigrantTBpatients(withafocusonpoor migrantsinonedistrictofShanghaiusingtreatmentcompletionanddefaultrates),theeffectoffinancialincentives intermsofreducingtheTBpatientcost,andtheincrementalcost-effectivenessratiooftheintervention. Results:Ninetyandninety-threemigrantTBpatientswereregisteredintheinterventionandcontroldistricts respectively.TBtreatmentcompletionratessignificantlyimprovedby11%(from78%to89%)intheintervention district,comparedwithonlya3%increase(from73%to76%)inthecontroldistrict(P=0.03).Defaultrates significantlydecreasedby11%(from22%to11%)intheinterventiondistrict,comparedwith1%(from24%to23%) inthecontroldistrict(P=0.03).Intheinterventiondistrict,thefinancialsubsidy(RMB1,080/US$170)accountedfor 13%oftheaveragepatientdirectcost(RMB8,416/US$1,332).Eachpercentincreaseintreatmentcompletioncosts requiredanadditionalRMB6,550(US$1,301)andeachpercentreductionindefaultscostsrequiredanadditional RMB5,240(US$825)intheinterventiondistrict. Conclusions:Overall,financialincentivesprovedtobeeffectiveinimprovingtreatmentcompletionandreducing defaultratesamongmigrantTBpatientsinShanghai.Theresultssuggestthatfinancialincentivescanbeeffectively utilizedasastrategytoenhancecasemanagementamongmigrantTBpatientsinlargecitiesinChina,andthis strategymaybeapplicabletosimilarinternationalsettings. Keywords:Publichealth,Tuberculosis,Domesticmigrants,Poverty,Financialincentive,Treatmentcompletion, Effectiveness Multilingualabstracts movingfromruralareastomoreprosperousurbanareas Please see Additional File 1 for translations of the ab- in r