Purpose The purpose of this paper is to estimate the cost-effectiveness of tuberculosis (TB) treatment and care in two Thai hospitals located on the borders with Myanmar and Laos. Design/methodology/approach A retrospective data collection was conducted to analyze all costs relevant to TB treatment and care from Mae Sai and Chiang Sean Hospitals. The cost related to TB treatment and care and the number of successful TB treatment from January 1 to December 31, 2017 were used for the calculation. The cost-effectiveness ratio (C/E) and the incremental cost-effectiveness ratio (ICER) were the outcomes. Findings In 2017, the total cost of the TB treatment and care program at Mae Sai Hospital was 482,728.94 baht for 57 TB patients. The cast per treated case per year was 8,468.93 baht. The C/E was 10,971.11 baht per successful TB treatment (44 successful cases). The total cost of the TB treatment and care program at Chiang Sean Hospital was 330,578.73 baht for 39 TB patients. The cost per treated case per year was 8,476.38 baht. The C/E was 22,038.58 baht per successful TB treatment (15 successful cases). The ICER was 5,246.56 baht. The Mae Sai Hospital model was more cost-effective in terms of the treatment and care provided to Burmese patients with TB than the Chiang Sean Hospital model for Laotian patients with TB. Originality/value To improve the cost-effectiveness of TB treatment and care programs for foreign patients in hospitals located on the Thai border, focus should be placed on patient follow-up at the community or village level.
Abstract. In Thailand, quantity of the educational institutes building shared one fourth of commercial building. Among the energy consumption and conservation in the building in Thailand are mostly study in typical office and resident building. Mea Fah Luang University (MFU) was selected to represent the educational institutes building where located in the northern part of Thailand. The average temperature in the northern is lower than other parts of Thailand. This study was firstly collected the data about quantity and behaviour of energy consumption in MFU based on the energy audit handbook. Although MFU is located in the northern of Thailand. The highest energy consumption is in the part of air condition. When the energy efficiency appliances and energy conservation building are implemented, the cost of energy will be saved around 15,867,960 Baht. Furthermore, the greenhouse gas emission is also reduced about 72.01 kg CO2, equivalent/m 2 /year.
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