用质量调整生命年对山东省改水降氟工程的分析  

Analysis on Cost-Utility for Water Supply Improvment and Fluoride Reduction Project of Shandong Province

作　　者：范利华[1] 咸树梅[2] 陈培忠[2] 云中杰[2] 秦玉平[2] 

机构地区：[1]山东医科大学,山东济南250012 [2]山东省地方病防治研究所,山东济南250014

出　　处：《山东医科大学学报（社会科学版）》2000年第3期24-29,共6页

摘　　要：目的 :对山东省 1980年以来改水降氟工程进行调查 ,并对这些工程的经济投入和产出进行分析比较。方法 :随机抽取 10 7处工程 ,用质量调整生命年 (QALYS)为改水的产出指标 ,分析工程的效用及效用比。结果 :发现打井工程和骨炭除氟工程总成本无差异 ,人均成本后者大于前者。而产出的QALYS前者为 10年 ,后者 5.2 6年 ,前者几乎为后者的 2倍。其成本效用比 (CUR)显示打井工程优于骨炭除氟 ,在重病区改水的CUR最小 ,即效用最大。改水使病区氟中毒病人生存质量改善 ,也促进了经济发展。? Objectivte:To compare the costs and the utility for different defluoridation projects in Shandong province.Methods:Using cost-utility analysis method to compare the utility of the two main defluoridation projects (digging low-fluoride well and bone char defluoridation).Results:The difference of total costs between well-digging projects and BC projects had no statistical significance,but the cost per person of BC projects was higher than that of the other.The utlity per person in people benefiting from well-digging projects was 10 QALYs,while it was 5.26 QALYs in people benefiting from BC projects .The difference has statistical significance conclusion.The cost-utility ratio(CUR)of well-digging projects was less than that of BC projects with statistical significance. 〔

关 键 词：地方性氟中毒 改水降氟 QALYS 山东 骨炭除氟 

分 类 号：R123.5[医药卫生—环境卫生学] R599.9[医药卫生—公共卫生与预防医学]