Moving Beyond GDP

摘要: HYPOTHESIS Cochlear implantation (CI) and deaf education are cost effective management strategies of childhood profound sensorineural hearing loss in Latin America. BACKGROUND CI has been widely established as North America Europe is considered standard care those regions, yet effectiveness other economic environments not explored. With 80% the global burden existing low- middle-income countries, developing these settings essential. This analysis represents continuation a assessment effectiveness. METHODS Brazil, Colombia, Ecuador, Guatemala, Paraguay, Trinidad Tobago, Venezuela participated study. A Disability Adjusted Life Years model was applied with 3% discounting 10-year length analysis. Experts from each country supplied estimates known costs published data. Sensitivity performed to evaluate effect device cost, professional salaries, annual number implants, probability failure. Cost determined using World Health Organization ratio/gross domestic product per capita (CER/GDP)<3. RESULTS Deaf very all countries (CER/GDP 0.07-0.93). 0.69-2.96), borderline Guatemalan sensitivity (Max CER/GDP 3.21). CONCLUSION Both cochlear In lower-middle income economy implant may have larger impact. GDP less influential middle- high-income economies included this