1991～1996年天津市慢性病综合干预项目成本-效用和成本-效益分析  

Cost effectiveness Analysis on Tianjin Non communicable Diseases Prevention and Control Project Conducted from 1991～1996

作　　者：田惠光[1] 郭则宇[2] 宋桂德[3] 魏荃 郑庚文[2] 于世北[3] 董燕敏[5] 张燕杰 

机构地区：[1]天津市食品卫生监督检验所,天津300204 [2]天津市卫生局,天津300040 [3]天津市卫生防病中心,天津300011 [4]天津市健康教育所,天津300074 [5]天津市河东区卫生局,天津300171 [6]天津市心血管病研究所,天津3000151

出　　处：《中国慢性病预防与控制》2000年第5期196-197,221,共3页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：1991～ 1996年天津市在社区开展以人群为目标的慢性病预防与控制综合干预项目。本研究以该项目为基础进行卫生经济学评价 ,研究结果表明 :1991～ 1996年贴现 ( 3% )的累积成本为 16 10 885 6元 ,干预实现三年后 ,效益 -成本比开始大于 1,干预时间越长 ,效果越好 ,干预措施对脑卒中的干预效果优于冠心病。 1991～ 1996年由于开展项目累积增加的 QAL Ys为 12 75 8,每 1QAL Y成本为 983元 ,效益 -成本比为 2 .48。以上结果表明天津慢性病综合干预项目所采取的策略和干预活动取得了良好的经济效果。A community based comprehensive intervention project was carried out in Tianjin from 1991 to 1996(Tiangjin project).Based on the Tianjin project,cost effectiveness analysis was conducted in this study.The results showed:The cumulated cost of the Tianjin project was 16 108 856 Yuan(3% discount).The benefit cost ratio was larger than one after three years intervention,the longer of the intervention,the better of the results.Compared with coronary heart disease control,stroke control gained better result.The cumulated quality adjusted life year(QALY) was 12 758,the cost of per QALY was 983 Yuan and the benefit cost ratio was 2 48,namely that it could get 2 48 Yuan output with 1 Yuan input during 1991 to 1996 period in the Tianjin project.The result indicted that the community based comprehensive intervention project was effective in prevention and control of non communicable disease.

关 键 词：慢性病 预防 控制 社区干预 流行病学 

分 类 号：R181.3[医药卫生—流行病学]