[COMPARATIVE ANALYSIS OF THE COST OF TREATMENT OF ECHINOCOCCOSIS BY THERAPEUTIC AND SURGICAL METHODS (BASED ON THE STEP-DOWN METHODOLOGY)].

The aim of the study was to carry out a comparative economic analysis of the costs of therapeutic and surgical treatment of liver echinococcosis based on the developed methodological approaches and principles for calculating the cost of complex medical services in accordance with the «step-down» methodology. The model for calculating the cost of complex medical services for the treatment of echinococcosis was justified. The sum of costs of outpatient and inpatient units that directly provide medical care (direct costs) to the costs of support centers (indirect costs) was adjusted, which among simple medical services based on the chosen criterion were distributed. Calculation of costing items out on the basis of the direct-cost costing method was carried. Based on the proposed model, a comparative analysis of the cost of treatment of liver echinococcosis using therapeutic and surgical methods was carried out. As a result of the study, it was proved that the therapeutic method is less expensive than the surgical method. This is the basis to recommend it for wider use in medical practice, especially in cases when there is a problem of choosing the method of treatment of echinococcosis. Cost optimization is facilitated by a combination of surgical intervention and therapeutic treatment.