农村卫生适宜技术培训方式成本-效果分析  

Cost-effectiveness of training in appropriate medical technology in rural area

作　　者：刘元强[1] 张仲男[1] 姚进文[2] 马光斌[1] 李莉[2] 潘卫民[2] 寇嘉宁[3] 白亚娜[3] 

机构地区：[1]甘肃省医学科学研究院情报所,兰州730500 [2]甘肃省疾病预防控制中心 [3]兰州大学公共卫生学院流行病与卫生统计学研究所

出　　处：《中国公共卫生》2010年第8期1019-1020,共2页Chinese Journal of Public Health

基　　金：国家"十五"科技攻关计划项目(2004BA715B15)

摘　　要：目的通过对卫生适宜技术多元化的培训方式进行成本-效果评价,探讨经济有效的培训方式。方法通过核算甘肃省农村卫生适宜技术培训财务报表及相关纪录获得培训成本(C),将培训前后成绩的提高幅度作为评价的效果指标(E),分别计算成本-效果比(C/E)和增量成本-效果比(△C/△E)。结果人均培训总成本中医技术(1 465.61元)高于西医技术(872.79元)、计生技术(261.26元),其培训学习效果最优;以计生技术为基准,培训成绩每提高1分,西医、中医技术要多投入成本依次为37.96元,54.67元。人均培训总成本省级培训(1 432.49元)高于县级培训(306.93元),其培训学习效果也优于县级培训;以县级培训为基准,省级培训成绩每提高1分要多投入成本66.96元。结论对操作相对简单的中医技术,可聘请本地专家进行,以降低成本;省级培训成本较高,可采用分级培训方式,在保证培训效果的前提下节约培训成本。Objective To discuss the cost-effectiveness of training in medical appropriate technology in rural area for conducting better training program.Methods The data of training cost（C） were acquired from training financial reports and correaltive record.The training effectiveness（E） was evaluated according to the achievement of medical skills before and after the training.The cost effectiveness ratio（C/E） and the increment of cost-effectiveness ratio（△C/△E） were caluclated.Results The total cost per capita for training in Chinese medicine technology（1 465.61 Yuan RMB） was higher than that of western medicine technology（872.79 Yuan RMB） and family planning technology（261.26 Yuan RMB）.Based on family planning technology,the costs of western medicine and Chinese medicine technolgy for an increment of one score were 37.96 Yuan RMB and 54.67 Yuan RMB,respectively.The total cost per capita for training at the provincial level（1 432.49 Yuan RMB） was higher than that of at county level.Compared to county level training,overinvestment cost for an increment of one score at provincial level was 66.96 Yuan RMB.Conclusion The training in Chinese medicine technology could be conducted by local experts to lower training cost.The provincial level training should adopt stratified training method to save training cost.

关 键 词：农村 卫生适宜技术 培训方式 成本-效果 

分 类 号：R181.31[医药卫生—流行病学]