新疆A市母婴传播阻断实施效果的经济学评价  

Economic evaluation of implementation effect of mother-to-child transmission block of AIDS in a city of Xinjiang

作　　者：岳一姬[1] 谢慧玲[1] 刘金宝[1] 白思敏[1] 胡晓远 

机构地区：[1]新疆医科大学公共卫生学院卫生经济学教研室,新疆乌鲁木齐830011 [2]新疆维吾尔自治区疾病控制中心

出　　处：《中国妇幼保健》2013年第7期1067-1069,共3页Maternal and Child Health Care of China

基　　金：国家科技重大专项资助〔2009zx1000-019〕

摘　　要：目的:了解新疆A市实施艾滋病母婴阻断干预措施的经济学效率。方法:采用卫生经济学分析评价方法中的成本效果分析方法和成本效用分析方法对新疆A市2008～2010年母婴阻断实施效果。结果:2008年～2010年,共检测孕产妇99 383人,孕产妇接受HIV病毒检测率达到98%以上;实施母婴阻断各种干预措施直接避免感染68人,终止妊娠避免1例感染的费用为10 429.21元,药物阻断避免1人感染的费用为27 662.75元;避免直接经济损失合计14 563 696元;直接避免减少DALY损失合计为1 411.68元。结论:A市母婴传播阻断工作成效显著;终止妊娠措施是更为经济的选择,但可能不是最好的解决方式;母婴传播阻断工作是防治艾滋病有效而经济的措施。Objective ： To understand the economic efficacy of mother - to - child transmission block of AIDS in a city of Xinjiang. Methods ： Cost effectiveness analysis and cost utility analysis of health economic analysis and evaluation were used to analyze the implemen- tation effect of mother - to - child transmission block of AIDS in a city of Xinjiang from 2008 to 2010. Results： From 2008 to 2010, a total of 99 383 pregnant women were detected, more than 98% of the pregnant women received HIV detection; HIV infection was avoided in 68 cases directly, the fee for avoiding HIV infection in one case by terminating pregnancy was 10 429.21 Yuan, while the fee for avoiding HIV infection in one case by drug block was 27 662. 75 Yuan; 14 563 696 Yuan were saved directly; 1 411.68 Yuan DALY were saved. Conclusion ： The effectiveness of mother - to - child transmission block of AIDS in a city of Xinjiang is significant. Terminating pregnancy is a more economic measure, but it may not be the best solution ; mother - to - child transmission block is an effective and economic measure to prevent and treat AIDS.

关 键 词：母婴传播阻断 经济学评价 效率 

分 类 号：R183[医药卫生—流行病学]