Patient medical costs for tuberculosis treatment and impact on adherence in China: a systematic review

Long, Qian; Smith, Helen; Zhang, Tuohong; Tang, Shenglan; Garner, Paul

doi:10.1186/1471-2458-11-393

BMC Public Health

Table 4 Annual medical costs for one TB treatment (RMB). Excludes costs for diagnosis

From: Patient medical costs for tuberculosis treatment and impact on adherence in China: a systematic review

Study	Methods	n	Variables	County or patient group	TB treatment	Annual cost	% of annual household income
Liu 2010⁸	Method: Survey Includes: All TB patients Extent: 8 counties	163	Average expenditure in previous month on TB drugs and tests	Income below poverty line <3720/year (n = 24)	Free	1584 ^a	93%
Meng 2004¹⁰	Method: Survey Includes: All patients Extent: 4 counties	312	Average total medical annual cost per patient	Poor county 1 (n = 81) Poor county 2 (n = 65)	Free Free	3070 2241	119% 57%
Jackson 2006¹¹	Method: Case control Costs prospective Includes: All patients Extent: 4 counties	160	Direct medical costs per completed treatment	Mixed income (n = 144)	Free	1940	39% ^b
Zhang 2007¹²	Method: Household survey Number: 143,991 people Includes: TB patients Extent: National	180	Annual household medical cost	Low income (n = 80)	Mixed	1241	42%
Xu 2010¹³	Method: Survey Includes: All TB patients Extent: 6 counties	501	Annual household medical cost	Poor county 1 (n = 68) Poor county 2 (n = 88)	Free Free	5228 4079	65% 84%
Liu 2007¹⁴	Method: Survey Includes: Random sample (TB patients) Extent: 3 poor counties in each of 4 provinces	889	Direct medical cost per treatment	Province 1 (n = 217)) Province 2 (n = 228) Province 3 (n = 223) Province 4 (n = 221)	Free Free Free Free	775 800 1760 445	8% ^c 11% 27% 5%
Xu 2006¹⁵	Method: Cohort study Includes: All TB patients Extent: 2 counties	465	Direct medical cost per treatment	Middle county 1 (n = 183) Middle county 2 (n = 282)	Free Charged	90 704	2% ^d 12%
Zhan 2004^9e	Method: Survey Includes: All patients^f Extent: 3 counties	257	Direct medical costs per treatment	Middle county 1 (n = 46) Middle county 2 (n = 105)	Free Charged	1517 1754	NA
Huang 2009¹⁶	Method: Survey Includes: Sample (TB patients) Extent: 10 counties	100	Direct medical costs per treatment	Unknown	Free	1635	NA

NA: not available
^a Monthly costs estimated multiplied by six; Monthly household income reported multiplied by twelve
^b From reported average annual household income of the TB patients interviewed
^c From total cost as a percentage of annual household expenditure
^d Based on reported average annual household income of the TB patients interviewed
^e Cost in US$ converted to RMB by exchange rate used in the study. One county excluded as data from health worker estimates
^f Random sample in one of the three counties

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ISSN: 1471-2458

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