湖南省丝虫病防治的成本-效益分析  

Cost-benefit analysis of lymphatic filariasis control in Hunan Province,China

作　　者：邓艳霞[1] 段绩辉[2] 王乐三[1] 伍卫平[3] 谭勇刚 

机构地区：[1]中南大学公共卫生学院流行病与卫生统计学教研室,湖南长沙410078 [2]湖南省疾病预防控制中心,湖南长沙410005 [3]中国疾病预防控制中心寄生虫病预防控制所,上海200025 [4]株洲市第二人民医院,湖南株洲412000

出　　处：《中国病原生物学杂志》2008年第7期523-526,522,共5页Journal of Pathogen Biology

摘　　要：目的分析湖南省丝虫病防治的成本一效益。方法采取典型调查的方法获取样本，确定6个县（市、区）为样本县。收集各样本县1970-1986年丝虫病防治资料及其他相关资料，测算不同时间的防治成本及效益，计算成本-效益比。结果丝虫病反复查治时期、乙胺嗪药盐普服时期及防治全期的直接效益分别为649．41、300．09和949．50万元，间接效益分别为890．66、397．57和1288．23万元，净效益分别为1437．55、30．25和1467．80万元，成本-效益比分别为1：15．02、1：1．05和1：2．91。结论湖南省丝虫病防治资源配置效率较高；不同时期采用不同的防治方案可提高成本效益比。Objective To evaluate the economic benefit of lymphatic filariasis control in Hunan Province using cost-benefit analysis. Methods Six counties in Hunan Province were investigated as typical-cases. Data of lymphatic filariasis control in six counties during 1970--1986 and other data were used to calculate the cost and benefit of different periods, which were the base of cost-benefit ratio, Results The whole time was marked off according to the method of control to two stages （eg. stage A： stage of repeated mass screening and treatment and stage B： stage of DEC-medicated salt administration）, In stage A, stage B and the whole stage, the direct benefit were 6 494, 1, 3 000, 9, 9 495.0 thousand yuan, as the indirect benefit were 8 906, 6, 3 975, 7, 12 882, 3 thousand yuan, The net benefit of each one were 14 375.5, 302, 5, 14 678,0 thousand yuan, And thecost / benefit ratio were 1 ： 15,02, 1 ： 1.05, 1 ： 2,91 respectively, Conclusion The lymphatic filariasis control in Hunan Province showes certain efficiency of resource collocation, Adopting different project can improve the cost-benefit ratio of lymphatic filariasis control.

关 键 词：湖南省 丝虫病 微丝蚴血症 防治 经济学评价 成本-效益 

分 类 号：R532.15[医药卫生—内科学]