Table 2.
Potential savings: episode and total costs by type of treatment in the last two months for different utilisation assumptions, USD 2013
| Top-down; mean (range) | Bottom-up; mean (range) | |
|---|---|---|
| EPISODE COSTS | ||
| Facility-DOT | ||
| 45 % continuation phase | 283.7 (108.5–410.5) | 160.6 (82.7–373.3) |
| Patient utilisation | 286.9 (109.6–415.2) | 162.3 (83.5–377.6) |
| SAT | ||
| 45 % continuation phase | 115.1 (38.9–470.8) | 61.6 (20.8–168.5) |
| Patient utilisation | 127.7 (42.6–525.0) | 68.0 (22.4–187.6) |
| Community-DOT | ||
| 45 % continuation phase | 441.5 (397.6–485.6) | 169.8 (162.8–176.8) |
| Patient utilisation | 463.8 (417.6–510.1) | 178.1 (170.8–185.6) |
| Average total costs by treatment type | ||
| Facility-DOT | ||
| 45 % continuation phase | 16,834 (2,824–24,631) | 10,083 (848–18,260) |
| Patient utilisation | 17,024 (2,855–24,911) | 10,194 (857–18,467) |
| SAT | ||
| 45 % continuation phase | 2,021 (65.6–4,701) | 1,287 (55.4–3,562) |
| Patient utilisation | 2,227 (72.5–5,157) | 1,407 (61.1–3,884) |
| Community-DOT | ||
| 45 % continuation phase | 43,660 (23,308–64,012) | 17,351 (8,486–26,216) |
| Patient utilisation | 45,856 (24,486–67,226) | 18,203 (8,907–27,500) |
| Average total costs per facility | ||
| 45 % continuation phase | 24,221 (4,010–64,954) | 12,824 (1,316–26,551) |
| Patient utilisation | 25,018 (4,159–68,276) | 13,204 (1358–27873) |
DOT directly observed therapy; SAT self-administered therapy
Utilisation assumptions: 1) 45 % continuation phase. In this scenario we calculated the costs in the last two months of treatment as a proportion of the continuation phase costs; 2) Patient utilisation. In this alternative scenario, costs in the last two months of treatment are calculated using the reported number of visits by patients interviewed