深圳市预防与控制梅毒母婴传播项目的卫生经济学评价  

Economic evaluation on prevention of mother-to-child transmission syphilis programs in Shenzhen

作　　者：蓝丽娜[1] 吴肖冰[1] 付翰林[2] 张春来[1] 蔡于茂[1] 洪福昌[1] 冯铁建[1] LAN Li'na;WU Xiaobing;FU Hanlin;ZHANG Chunlai;CAI Yumao;HONG Fuchang;FENG Tiejian(Shenzhen Center for Chronic Disease Control,Shenzhen,Guangdong 518020,China)

机构地区：[1]深圳市慢性病防治中心,广东深圳518020 [2]中南大学湘雅公共卫生学院,湖南长沙410078

出　　处：《中国热带医学》2018年第12期1211-1213,共3页China Tropical Medicine

基　　金：深圳市卫生计生系统科研项目(No.201402101);深圳市医疗卫生三名工程(No.SZSM 201611077)

摘　　要：目的对2014年深圳市预防与控制梅毒母婴传播项目进行卫生经济学评价,为广东省乃至全国优化和制定梅毒防控策略提供科学依据。方法收集2014年深圳市预防与控制母婴传播的病案记录、财务报表、统计报表、回顾性调查资料以及国内外相关文献资料,并咨询深圳市性病防治专家获得相关数据参数,在此基础上运用成本-效果、成本-效益和成本-效用分析方法,对深圳市预防与控制梅毒母婴传播项目进行卫生经济学评估。结果2014年,深圳市预防与控制梅毒项目检测了363126名产妇,共发现孕产妇梅毒阳性患者766例,孕产妇梅毒阳性率为0.21%。根据成本-效果分析结果显示,2014年该项目共阻断不良妊娠结局的发生数352例,阻断成功率为89.81%,成功避免了107例三期梅毒病例,干预阻断成功率为100.00%。成本-效用分析结果显示,2014年该项目共挽救17125.16个伤残调成寿命年(Disability Adjusted Life Year,DALY)。成本-效益分析结果显示,2014年该项目总效益为39260.83万元,其中直接效益为769.53万元,间接效益为38491.30万元;且项目净效益为38263.76万元,成本效益比为1:38.38,即每投入1元,即可获得38.38元的受益。结论预防与控制梅毒母婴传播项目不仅具有巨大的经济效益,还蕴藏着巨大的社会远期效益,是低投入、高产出的社会公益项目。Objective Health economics evaluation on prevention and control of mother-to-child transmission of syphilis in Shenzhen was carried out to provide scientific basis for Guangdong Province and the whole country to optimize and formulate the prevention and control strategy of syphilis.Methods Collecting medical records,financial statements, statistical statements,retrospective survey data,and relevant domestic and foreign literatures for prevention and control of mother-to-child transmission in Shenzhen in 2014 as well as consulting with Shenzhen STD experts to obtain relevant data parameters in order to perform health economic evaluation of the prevention and control of syphilis mother-to-child transmission project in Shenzhen by using cost-effect,cost-benefit and cost-utility analysis method.Results In 2014,363 126 pregnant women were examined in syphilis prevention and control project,766 cases of positive parturient syphilis were found in Shenzhen,and the positive rate of parturient syphilis was 0.21%.The cost-effect analysis results showed that in 2014, 352cases of adverse pregnancy outcomes were blocked by the project,and the success rate of congenital syphilis was 89.81%, 107cases of tertiary syphilis were successfully avoided,and the success rate of interention was 100.00%.The results of costutility analysis showed that a total of 17125.16 DALY were saved in the project in 2014.According to the results of costbenefit analysis,the cost-benefit ratio of the project in 2014 was 1:38.38,and the total benefit of the whole project was RMB 39260.83×10^4,of which the direct benefit was RMB 769.53x104and the indirect benefit was RMB 38491.30×10^4.In 2014,the net benefit of the project was RMB 38263.76×10^4 yuan.Conclusion The prevention and control of mother-to-child syphilis transmission project not only has great economic benefits,but also contains great long-term social benefits.

关 键 词：梅毒 性病 母婴传播 卫生经济学 

分 类 号：R795.1[医药卫生—临床医学]