鄂尔多斯市实施结核病防治规划(2001-2010)卫生经济学评价  

Health economic evaluation on the implementation of the National Tuberculosis Prevention and Control Program(2001-2010) in Ordos City

作　　者：丁喜顺[1] 付来文[1] 李兵[1] 丁秀贞[1] 曹怀峰[1] 

机构地区：[1]鄂尔多斯市疾病预防控制中心,内蒙古东胜017000

出　　处：《疾病监测与控制》2013年第1期1-3,共3页Journal of Diseases Monitor and Control

摘　　要：目的评价鄂尔多斯市实施《全国结核病防治规划(2001-2010年)》的卫生经济学效果,为指导下一步卫生资源投入与使用提供依据。方法按《全国结核病防治规划(2001-2010年)终期评估实施方案》标准和要求,从社会效果、社会效益、社会成本、成本效用比、效益成本比、成本分析方面进行评价。结果 2001-2010年共投入结防经费970.27万元,共发现活动性肺结核患者8469例,其中新涂阳3961例(治愈率为85.1%),复治涂阳580例(治愈率为70.2%),减少因结核病死亡2082人,避免新感染28868人,避免新发患者2891人,节约医疗费用196.95万元,挽回伤残调整生命年(DALY)40783.5个,挽回社会间接经济损失21.97亿元,成本效用比237.91,效益成本比226.61,每发现并成功治疗1例活动性肺结核患者所需要的成本是1316.51元。结论通过《规划》达到了控制传染源、减少发病和死亡,减轻了患者的经济负担,减少了大量社会劳动力的损失,取得了显著的社会效益和经济效益。Objective To evaluate the health economic effect of the implementation of the National Tuberculosis Prevention and Control Program （2001-2010） in Ordos City. Then guide the invertment and utilization of the health resources in the future. Methods According to the standards and requirements of the Final Assessment Program for National Tuberculosis Prevention and Control Program （2001-2010）, the social effect,social benefits, social costs, cost-effectiveness ratio, benefit-cost ratio and costing analysis were evaluated. Results 9 7027 million RMB had been invested during 2001-2010. A total of 8469 active pulmonary tuberculosis cases were reported,of which 3961 cases were new smear-positive tuberculosis cases with the cure rate of 85.1% and 580 cases were retreatment smear-positive tuberculosis cases with the cure rate of 70.2%. 2 082 fewer deaths from tuberculosis were attributable to the Program, 28 868 perple were avoided to being infected by tuberculosis, and 2 891 people were avoided to develop to new tuberculosis patients. It saved medical expenses of 1 9695 million RMB, retrieved disability-adjusted life years （DALY） of 40 783.5, and saved indirect social loss of 2 197 billion RMB. The cost-effectiveness ratio was 237.91, and benefit-cost ratio was 226.61. Each discovery and successful treatment of 1 cases of patients with active pulmonary tuberculosis needs 1 316.51 RMB. Conclusion Through the implementation of the Program, infection sources were controlled, morbidity and mortality were reduced, the financial burdens of patients were reduced,the labor is effectively protected, and it has made significant social and economic benefits.

关 键 词：结核病 防治规划 经济学评价 鄂尔多斯 

分 类 号：R521[医药卫生—内科学]