低疟区疟疾病例侦查的成本效果分析  

Costeffectiveness of Malaria Casedetection in Low level Malaria

作　　者：裴速建[1,2,3] 叶建君[1,2,3] 程峰[1,2,3] 徐博钊[1,2,3] 江明[1,2,3] 刘水清 陆业新[1,2,3] 张绍清 

机构地区：[1]湖北省医学科学院寄生虫病研究所 [2]荆州市荆州区卫生防疫站 [3]仙桃市卫生防疫站

出　　处：《中国公共卫生》1998年第3期150-151,共2页Chinese Journal of Public Health

基　　金：联合国开发计划署/世界银行/世界卫生组织热带病规划署的资助

摘　　要：１９９５～１９９６年在湖北省的江陵、仙桃２县市进行低疟区简化病例侦查方法的研究。结果显示：每个发热病人的血检费用为１７８元，以二热病人为血检对象的简化病例侦查方案，原虫检出率为９４５％，一次血检检出的阳性人数占总阳性人数的９５３８％，检出每个阳性病例的费用为１８８６元，而以四热病人为血检对象则费用要增加１８０倍，且两种病例侦查方案在降低疟疾发病方面无显著性的差异，同样可以取得较好的防治效果。从流行病学和卫生经济学综合评价，在以中华按蚊为唯一媒介的低疟区，以二热病人为血检对象的病例侦查方案，大幅度减少了血检数量，提高了措施的针对性，可以巩固疟疾防治成果，节省大量的人力、物力和财力，是经济有效，切实可行的优选方案。uring 1995～1996,study on simplified schemes of malaria casedetection was conducted in Xiantao,Jiangling of Hubei province.The result shows:The blood examination fee of per fever was RMB 178 yuan.The parasite rate was 945%,positive detected rate was 9538%,its examination fee of per case reached RMB 1886 yuan if scheme group 2 was implemented.Blood examination fee increased 180 times compare scheme group 4 and scheme group 2.No statistical difference of two scheme was existed in lowing malaria incidence,as well as good control effect.Comprehensive assess with epidemiology and costeffectiveness instructs that the scheme group 2 in low malaria area where An sinensis was considered as only vector is effective,reasonable and economical measure because of is rapid decreasing blood examination amount,increasing aim and save money,manpower.

关 键 词：疟疾 病例侦查 成本-效果分析 

分 类 号：R531.3[医药卫生—内科学]