祁阳县2001～2010年实施结核病防治规划效果分析及卫生经济学评价  

Effectiveness analysis and health economic evaluation on TB control program in Qiyang from 2001 to 2010

作　　者：肖爱莲[1] 陈文华[1] 

机构地区：[1]湖南省祁阳县疾病预防控制中心,湖南祁阳426100

出　　处：《现代预防医学》2013年第8期1446-1448,共3页Modern Preventive Medicine

摘　　要：目的分析评价祁阳县实施《湖南省结核病防治规划(2001～2010年)》效果及取得的社会效益和经济效益,为制定下个10年结核病防治规划提供科学依据。方法对2001～2010年全县结核病控制季报表的数据资料进行统计分析。结果实施《湖南省结核病防治规划》10年来,共接诊可疑肺结核症状者27937例,发现涂阳肺结核病人4095例,涂阳肺结核病人发现率由2001年的30.67/10万上升到2010年的45.55/10万,涂阳肺结核病人治愈率由2001的82.06%上升到2010年87.47%,10年间减少新发肺结核病人1859～2788.5例,减少误工费165.47～248.20万元,按国内生产总值(GDP)计算,10年平均人均GDP7259.4元/人年,挽回GDP损失2.84亿元。按祁阳县农民人均纯收入3752.9元计算,避免了因病造成的个人收入损失达1.47亿元。结论 2001～2010年祁阳县结核病防治工作各项指标达到了《湖南省结核病防治规划(2001-2010年)》要求,实现了低成本、高效益,符合疾病控制与卫生经济学成本-效益原则。OBJECTIVE To analyze and evaluate the executive effect, social and economic benefits of implementation of National Tuberculosis Program in Hunan Provience from 2001 to 2010 in Qiyang, and to provide a scientific basis for the next tenyears＇ preventive project of TB. METHODS The study collected and analyzed the demographic data of quarterly and annual reports on TB control project from 2001 to 2010 in Qiyang. RESULTS During the period of 10 years, after carry out the National Tuberculosis Program in Hunan Provience, totally 27 937 patients with suspicious pulmonary TB symptom were diagnosed, and 4 095 smear-positive pulmonary TB patients were discovered. The TB patient detection rate from 30.67/100 000 in 2001 rose to 45.55/100 000 in 2010. The recent discovered smear-positive pulmonary TB patient cure rate from 82.06% in 2001 rose to 87.47% in 2010. 1 859-2 788.5 cases of new pulmonary tuberculosis patients were reduced and 1 654 700 -2 482 000 RMB of compensation for loss of working time were reduced in ten years. According to GDP, the average per capita GDP was 7 259.4 RMB per man-year in ten years, and the loss of about 284 000 000 RMB were saved.According to the average net income of 3 752.9 RMB per farmer in Qiyang, the personal income loss which was caused by sickness amounting to 147 000 000 RMB was avoided. CONCLUSION Each target of TB control program in Qiyangfrom 2001 to 2010, has met the requirements of National Tuberculosis Program in Hunan Provience from 2001 to 2010, and the implementation of low-cost, high-efficiency, con- forming to the cost-benefit principle of disease control and health economics.

关 键 词：结核病 效果 卫生经济学评价 成本-效益 

分 类 号：R52[医药卫生—内科学]