The analysis of the experience of the organization of treatment of TB patients under the program "hospital at home"
The new organizational model of treatment of TB patients - hospital at home was developed and introduced with the purpose to increase efficiency of TB patients treatment. We defined indicators for patients referral to the «hospital at home». It was proved that the directly observed treatment in a «hospital at home» has high efficiency and low frequency of treatment defaults: completed effectively the course of chemotherapy 90.7% of patients, ineffectively - 2.0%, interrupted treatment - 3.5%, departed - 0.3%, transferred to in-patient departments - 3.5%. Pharmacoeconomic analysis showed that treatment cost at a «hospital at home» is 2.5 times lower than that for treating patients in an in-patient department and 1.6 times lower than that in an in-patient department for MDR-TB patients.