A Cost Analysis of Tuberculosis and its Prevention in Tarrant County, Texas

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dc.contributor.advisorScott McNabb
dc.contributor.committeeMemberPeter Hilsenrath
dc.contributor.committeeMemberJotam Pasipanodya
dc.creatorMiller, Thaddeus L.
dc.date.accessioned2019-08-22T21:46:37Z
dc.date.available2019-08-22T21:46:37Z
dc.date.issued2007-05-01
dc.date.submitted2013-05-08T07:24:04-07:00
dc.description.abstractMiller, Thaddeus L. A Cost Analysis of Tuberculosis and its Prevention in Tarrant County, Texas. Doctor of Public Health (Health Management and Policy), May 2007, 232 pp., 29 tables, 2 illustrations, bibliography, 274 titles. Tuberculosis cost has been incompletely described as the cost arising from acute illness and treatment. The societal cost of tuberculosis arises from infection, suspicion of infection, acute and preventive responses, the sequalae of illness (including acute morbidity, drug induced hepatitis, mortality, and disability), and the compounding effects of transmission. This societal cost in unknown however the variable portion of this cost is equivalent to the savings made possible by averting tuberculosis, This study measured the societal cost of tuberculosis in Tarrant County, Texas, for the year 2002. Societal costs were estimated as the sum of known or estimated expenditures and health losses related to tuberculosis and discounted at 3%. Current and future costs will accrue to an estimated net $33.9 2002 USD million for the year 2002 in Tarrant County, Texas. An average of 1.4 QALYs net of 3% social discount were lost per incident case. The greatest burdens of tuberculosis, when analyzed by either cost or health quality, can be averted only by case prevention. Forty-three and 44% of societal cost was generate by secondary transmission and chronic impairment associated with pulmonary tuberculosis. Neither factor is routinely considered in discussions of tuberculosis cost. Acute treatment, hospitalization and direct medical care account for only 2.4% of societal cost. Any intervention that prevents one tuberculosis case will prevent at least a net $295,182 (2002 USD) and individual health quality losses averaging 1.4 net QALYs.
dc.format.mimetypeapplication/pdf
dc.identifier.urihttps://hdl.handle.net/20.500.12503/29576
dc.language.isoen
dc.provenance.legacyDownloads1
dc.subjectCommunity Health
dc.subjectDiseases
dc.subjectEconomic Policy
dc.subjectHealth Policy
dc.subjectMedicine and Health Sciences
dc.subjectMental and Social Health
dc.subjectOther Public Health
dc.subjectPublic Affairs, Public Policy and Public Administration
dc.subjectPublic Health
dc.subjectRespiratory Tract Diseases
dc.subjectSocial and Behavioral Sciences
dc.subjectcost analysis of tuberculosis
dc.subjectTarrant County
dc.subjectTexas
dc.subject2002
dc.subjectsocietal cost
dc.titleA Cost Analysis of Tuberculosis and its Prevention in Tarrant County, Texas
dc.typeDissertation
dc.type.materialtext
thesis.degree.departmentSchool of Public Health
thesis.degree.disciplineHealth Management and Policy
thesis.degree.grantorUniversity of North Texas Health Science Center at Fort Worth
thesis.degree.nameDoctor of Public Health

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