{"title":"Risk Factors for Narcotic Use in Street Children: A Cross-Sectional Analysis From a Low-Middle-Income Country.","authors":"Anum Waheed, Mariyam Sarfraz, Amna Mahfooz, Tahira Reza, Faran Emmanuel","doi":"10.1177/00469580251324047","DOIUrl":"10.1177/00469580251324047","url":null,"abstract":"<p><p>Worldwide, indulgence in high-risk behaviors such as substance abuse is on the rise in street children. Though substance abuse among street children has been investigated and reported in Pakistan, few studies have explored the relationship between narcotic use and its associated factors. This study was conducted to determine factors associated with narcotic use among street children in Islamabad Capital Territory. An analytical cross-sectional survey of a probability-based sample of 443 (males) street children aged 12 to 18 years, was conducted in Islamabad in March 2022. Using self-reported measures, the relationship between narcotic use and associated factors was determined using multivariate regression analysis. Out of 443 street children, with a mean age of 16.3 ± 1.6 years, 244 (55%) were between 17 and 18 years old. 119 (26.9%) worked as garbage collectors and 76 (17.2%) worked as car washers. The most common substance used was cigarettes in 285 (64.3%), naswaar in 172 (38.8%), hashish in 144 (32.5%), and alcohol in 63 (14.2%) street children. There were 164 (37%) street children who admitted having used narcotics (hashish, heroin, and bhang). On multivariate analysis, age > 16 years (OR: 2.3), sleeping on the streets (OR: 2.4), higher monthly income > Rs.18,000 (OR: 1.6), use of drugs by friends (OR: 5), and involvement in the selling of drugs (OR: 10.3) were independently associated with narcotic use. Substance abuse is a concerning trend among street children in Islamabad. When certain high-risk factors are present, these children are prone to narcotic use.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251324047"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11898026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Resilience Among Undocumented Migrants: An Analysis of the Likelihood to Participate in a Panel Study Among Undocumented Migrants Amidst the COVID-19 Pandemic.","authors":"Jan-Erik Refle, Yves Jackson, Claudine Burton-Jeangros","doi":"10.1177/00469580251324378","DOIUrl":"10.1177/00469580251324378","url":null,"abstract":"<p><p>Undocumented migrants, known for their particularly vulnerable living conditions, were deeply affected by the COVID-19 pandemic. Despite the challenges, some demonstrated resilience, successfully remaining in their host countries. Drawing on insights from the Parchemins study, which examined the experiences of undocumented and newly regularized migrants in Geneva, Switzerland, this paper details on undocumented migrants that faced accumulated difficulties during different moments of data collection amid the pandemic. Based on empirical findings, we observe that only a specific group among undocumented migrants continued to participate in the study post-pandemic. This paper undertakes a comparative analysis of \"remainers\" and those who dropped out. This indicator serves as a proxy for understanding resilience among the most vulnerable in times of crisis. Through regression models, we identify the factors influencing the likelihood of remaining in the panel as undocumented even in the face of a major crisis that negatively impacted various life domains. Our analysis reveals that the chance of remaining in Geneva amidst the pandemic was influenced by solidarity bonds, prior migration experience, as well as income developments and housing situations.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251324378"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Health Effects of Long-Term Care Insurance.","authors":"Qinghong He, Shuai Wang, Lijin Chen, Yaoguang Zhang","doi":"10.1177/00469580251325503","DOIUrl":"https://doi.org/10.1177/00469580251325503","url":null,"abstract":"<p><p>The increasing elderly population has led to a rise in the demand for long-term care services, prompting the adoption of long-term care insurance (LTCI) as a crucial solution. Since 2012, China has been conducting a pilot LTCI program, gradually expanding its coverage. Utilizing the survey data from China Health and Retirement Longitudinal Study (2011-2018), we employ the difference-in-differences method to examine the health effects of LTCI. We find that LTCI significantly decreases the probability of outpatient visit by 7.1 percentage points, the number of outpatient visits by 0.208 times, and outpatient expenditure by 65.8%. Additionally, LTCI improves self-reported health and life satisfaction, and reduces the probability of smoking. LTCI results in health benefits, particularly notable for individuals with more than 2 chronic diseases, lower household consumption, females aged over 62, or those enrolled in more generous programs.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251325503"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rebecca J Howe, Katherine Rieke, Thomas Bayer, Htun Ja Mai, Jennifer L Sullivan, Jane A Driver, Taylor Rickard, Thomas A Trikalinos, James Rudolph, Ellen McCreedy, Eric Jutkowitz
{"title":"Strategies and Outcomes of Age-Friendly Health System Implementation in Outpatient Settings: A Systematic Review.","authors":"Rebecca J Howe, Katherine Rieke, Thomas Bayer, Htun Ja Mai, Jennifer L Sullivan, Jane A Driver, Taylor Rickard, Thomas A Trikalinos, James Rudolph, Ellen McCreedy, Eric Jutkowitz","doi":"10.1177/00469580251318244","DOIUrl":"10.1177/00469580251318244","url":null,"abstract":"<p><p>The Age-Friendly Health System (AFHS) movement has spread widely in recent years, with nearly 5000 healthcare organizations across the country recognized as Age-Friendly. Despite this broad recognition, there is little focus on how AFHS are implemented and the impact of implementation. The objectives of this study were to describe the strategies employed to support AFHS implementation in outpatient settings and to identify the measures used to evaluate implementation and effectiveness. We conducted a systematic review of literature from multiple databases spanning 2015 to March 2024, identified eligible studies using predefined inclusion/exclusion criteria, and extracted key data (eg, study design, study population, implementation strategies, outcomes/measures). We identified ten eligible studies from primary care clinics (N = 8), convenient care clinics (N = 1) and a cancer center (N = 1). The studies employed over 65 implementation strategies and 98 outcomes or measures. The vast majority of measures mapped to components of the 4Ms (Mobility, Mentation, Medication, What Matters), with up to ten measures per M category. Five of ten studies had reporting discrepancies and four did not fully define outcomes. The ten included studies serve as clear examples for the need for more evidence to support AFHS implementation in outpatient settings. Existing research lacks strategy specification and standardization of measures. We present gaps and opportunities to advance from AFHS \"recognition\" to impact.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251318244"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abdul Kadir, Riza Yosia Sunindijo, Baiduri Widanarko, Dadan Erwandi, Sjahrul M Nasri, Bangga Agung Satrya, Stevan Deby Anbiya Muhamad Sunarno, Hardy Atmajaya, Popy Yuniar, Tubagus Dwika Yuantoko, Lailatul Qomariyah, Cynthia Febrina Maharani
{"title":"Impact of Physical and Psychological Strain on Work-Related Musculoskeletal Disorders: A Cross-Sectional Study in the Construction Industry.","authors":"Abdul Kadir, Riza Yosia Sunindijo, Baiduri Widanarko, Dadan Erwandi, Sjahrul M Nasri, Bangga Agung Satrya, Stevan Deby Anbiya Muhamad Sunarno, Hardy Atmajaya, Popy Yuniar, Tubagus Dwika Yuantoko, Lailatul Qomariyah, Cynthia Febrina Maharani","doi":"10.1177/00469580251315348","DOIUrl":"10.1177/00469580251315348","url":null,"abstract":"<p><p>This study examined the interplay between physical workload, psychological stress, and the prevalence of work-related musculoskeletal disorders (WMSDs) among construction workers in Indonesia. This cross-sectional study used a purposive sampling technique to gather quantitative data from 409 respondents working in four construction companies through structured questionnaires. Data collection tools included the Copenhagen Psychosocial Questionnaire III (COPSOQ III), the K10 scale for psychosocial distress, and the Nordic Body Map for musculoskeletal symptoms. Independent variables encompassed demographic factors, physical work environment, and psychosocial aspects, while the dependent variable was the presence of work-related musculoskeletal disorders (WMSDs) symptoms over the past 7 days and 12 months. Descriptive statistics and logistic regression analyses were performed using IBM SPSS Statistics Grad Pack 29.0 PREMIUM. The study revealed a high prevalence of WMSDs among workers, with 36.2% reporting symptoms in the past 7 days and 31.5% in the past 12 months. These symptoms primarily affected the neck, shoulders, back, and waist. Both physical and psychosocial factors were found to the risk, with high levels of somatic stress and sleep disorders significantly increasing the likelihood of WMSDs. Psychological distress emerged as a particularly strong predictor to these disorders. The findings underscore the importance of implementing targeted interventions and safety policies to mitigate WMSDs risks and improve occupational health within the construction industry.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251315348"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Reinpeter Momanyi, Steve Bicko Cygu, Agnes Kiragga, Henry Owoko Odero, Maureen Ng'etich, Gershim Asiki, Tatenda Duncan Kavu
{"title":"Analyzing Demographic Grocery Purchase Patterns in Kenyan Supermarkets Through Unsupervised Learning Techniques.","authors":"Reinpeter Momanyi, Steve Bicko Cygu, Agnes Kiragga, Henry Owoko Odero, Maureen Ng'etich, Gershim Asiki, Tatenda Duncan Kavu","doi":"10.1177/00469580251319905","DOIUrl":"10.1177/00469580251319905","url":null,"abstract":"<p><p>Kenya is experiencing a significant increase in the prevalence of non-communicable diseases (NCDs) such as cardiovascular diseases, hypertension, Type 2 diabetes, and certain cancers (bowel, lung, prostate, and uterine). This case is not unique to Kenya but is common in many Low and Middle-Income Countries (LMICs) in Africa. Many NCDs, are linked to diets high in added sugars, sodium, saturated fat, and low in fiber. There is a notable lack of information regarding the demographic differences among supermarket customers and their purchasing habits of healthy versus unhealthy foods in some parts of Africa. This gap in knowledge hinders the ability to connect grocery purchase patterns to NCDs, including obesity. Supermarkets in LMICs offer valuable demographic insights through grocery data. This research utilizes NOVA classification tool, data mining and unsupervised machine learning techniques to analyze grocery purchase patterns in 10 supermarkets across 5 counties in Kenya between 2022 and 2023. The apriori algorithm was used to create association rules and an analysis was done on the association rules to find out the relationship between demography (location, gender, and age) with purchase patterns. Individual data was collected along with transaction data, since the supermarkets logged transactions done by loyalty card customers. The main aim is to provide guidance to policymakers in public health. We collected 3 934 122 unique transactions and each transaction was associated with a customer who was identified with a unique customer ID. Findings from this research demonstrate that 53% of food purchases from these transactions were mainly industrially processed food items and males above the age of 50 years were the main consumers of these food items. The findings lead to the conclusion that this purchase trend has a chance of rising NCDs in older people. Therefore we recommend that policymakers adopt our recommendations to safeguard public health.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251319905"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Md Majharul Islam, Firoj Al-Mamun, Moneerah Mohammad ALmerab, Mst Sabrina Moonajilin, Mohammed A Mamun
{"title":"Factors Influencing Knowledge and Attitudes towards Second-Hand Smoking Exposure Among University Students: An Exploratory Study.","authors":"Md Majharul Islam, Firoj Al-Mamun, Moneerah Mohammad ALmerab, Mst Sabrina Moonajilin, Mohammed A Mamun","doi":"10.1177/00469580251314783","DOIUrl":"10.1177/00469580251314783","url":null,"abstract":"<p><p>Despite extensive global research on second-hand smoking (SHS) exposure, there is a noticeable lack of studies focusing on the knowledge and attitudes of university students in Bangladesh. This cross-sectional study aimed to address this gap by assessing the levels of knowledge and attitudes towards SHS exposure among university students in Bangladesh. Utilizing a convenience sampling technique, data were collected from 383 university students, encompassing socio-demographic information, as well as knowledge and attitude-related inquiries. Statistical analyses were conducted using SPSS software, including independent t-tests and analysis of variance (ANOVA) and multiple linear regression. The findings revealed that participants exhibited a moderate level of knowledge and attitude towards SHS exposure. Multiple linear regression identified age, gender, mother's education, and self-rated health status as significant predictors of knowledge, explaining 12.9% of its variance (R<sup>2</sup> = 0.129, F = 6.117, <i>P</i> < .001). Furthermore, age, gender, and living with parents emerged as significant predictors of attitude, explaining 14.7% of its variance (R<sup>2</sup> = 0.147, F = 7.165, <i>P</i> < .001). The study highlights the need for interventions aimed at enhancing awareness and fostering positive attitudes towards SHS exposure among university students in Bangladesh. It is recommended that university authorities organize seminars and implement health education initiatives targeting vulnerable populations to address the findings and promote a smoke-free environment on campus.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251314783"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cross-sectional Study Reveals Moderate Professional Benefits Among Nurses in a Multicultural Healthcare System.","authors":"Ka Ieng Lai, Pedro Fong, Lirong Meng","doi":"10.1177/00469580251316966","DOIUrl":"10.1177/00469580251316966","url":null,"abstract":"<p><p>The global nursing shortage poses challenges to healthcare accessibility, clinical outcomes, and patient safety. Researchers have explored factors that influence nursing attrition, and the Nurses' Perceived Professional Benefits (NPPB) is one such factor that has gained attention. This cross-sectional study aims to assess the NPPB among registered nurses in Macao, a multicultural city with a unique healthcare system. A 33-item online questionnaire was used to collect data from 279 nurses. The questionnaire measured NPPB across 5 dimensions: positive occupational perception, personal enhancement, recognition from family and friends, decent nurse-patient relationships, and team belongingness. This study indicated that Macao nurses had a moderate level of NPPB. Nurse-patient relationships, income, and job stability received the most positive responses, while team belongingness received the lowest scores. These findings suggest that improvements are needed in team building, providing more opportunities for specialized training, and offering more career advancement opportunities.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251316966"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kathleen Drago, Bryanna De Lima, Sophie Rasmussen, Alaina Ena, Elizabeth Eckstrom, Ella Bowman
{"title":"Effect of Age-Friendly Care on Days at Home Post-Hospital Discharge for Traditional Medicare Patients: A Cross-Sectional Study.","authors":"Kathleen Drago, Bryanna De Lima, Sophie Rasmussen, Alaina Ena, Elizabeth Eckstrom, Ella Bowman","doi":"10.1177/00469580251324408","DOIUrl":"10.1177/00469580251324408","url":null,"abstract":"<p><p>The Bundled Payment for Care Improvement Advanced (BPCI-A) model encourages value-based care by bundling 90-day healthcare-related costs into a single payment for eligible service codes and procedures for traditional Medicare Part A and B beneficiaries. Our institution, an Age-Friendly Health Systems Level 2 certified academic health center, participated in the BPCI-A model from 2018 to 2022. This study aimed to determine differences in days spent at home in the 30- and 90-day post-hospitalization period for older patients in the BPCI-A program based on Age-Friendly care status. Descriptive analyses assessed differences among patients who received Age-Friendly care (n = 275) and those who did not (n = 348). Zero-one-inflated beta regression models with propensity score matching compared the probability of spending days at home between groups. Sensitivity analyses were conducted. Age-Friendly care recipients tended to be older males with non-emergent admissions and lower risk-adjusted mortality scores (<i>P</i> < .05). No significant differences were shown between groups at 30- and 90-days post-discharge for the original analysis. Sensitivity analyses found the probability of spending all eligible days at a facility 30-days post discharge significantly higher for those not receiving Age-Friendly care compared to those receiving Age-Friendly care (<i>P</i> < .05). Admissions receiving at least 3Ms resulted in less days in a facility within 30 days of discharge. This highlights the importance of patient-centered and value-based care during the hospital stay. Future studies should continue to explore days at home as a patient-centered outcome measure and how comprehensive Age-Friendly care impacts days at home for a larger cohort.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251324408"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11898030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cost-Effectiveness Analysis of a Latent Tuberculosis Screening Program Among Healthcare Personnel.","authors":"Niludi Ranwanee Yasaratna, Manuj Chrishantha Weerasinghe","doi":"10.1177/00469580251319931","DOIUrl":"10.1177/00469580251319931","url":null,"abstract":"<p><p>Screening high-risk groups for Latent Tuberculosis Infection (LTBI) is crucial for TB elimination, as the large global reservoir of Mycobacterium tuberculosis bacilli poses a significant challenge to TB control globally. Assessing the cost-effectiveness of LTBI screening strategies is also crucial in determining the optimal approach. In 2022, Sri Lanka initiated a new program to manage latent tuberculosis infection among high-risk groups, including healthcare personnel, which recorded an 18% Latent Tuberculosis prevalence. This study aimed to evaluate the cost-effectiveness of implementing a screening program for Healthcare Personnel as part of this initiative in Sri Lanka. A decision tree model was developed to assess the cost-effectiveness of LTBI screening among Healthcare Personnel from the health system perspective, using secondary data from 2021 to 2022. The decision tree model was used to evaluate the cost-effectiveness of initiating LTBI screening for Healthcare Personnel in government hospitals. The findings are presented as the Incremental Cost-Effectiveness Ratio (ICER), compared to locally appropriate cost-effectiveness thresholds. The direct costs incurred for the standard LTBI tests and prophylaxis were assessed at the program level. The ICER represents the incremental cost of LTBI screening per Disability Adjusted Life Year (DALY) gained by preventing future active TB cases through treatment of latent TB infection. The total cost for managing an active TB case was $80.44, markedly higher than the $20.84 cost for a Latent TB case. The total cost difference between managing an active TB case and a Latent TB case was $59.60. The Incremental Cost-Effectiveness Ratio was $2381.29 per Disability Adjusted Life Year averted. The decision analysis model indicated that screening Healthcare Personnel for latent tuberculosis infection is highly cost-effective and can be recommended for implementation in Sri Lanka.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251319931"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}