凉山州不同疫情4县市艾滋病主动检测咨询服务的成本-效果分析  

The cost-effectiveness analysis and comparison of provider initiated HIV testing and counseling among four counties of different epidemic situations in Liangshan prefecture

作　　者：孙晓蒙[1] 黄勤[1] 刘伟 段小蓉 叶虎 鲁友生 栾荣生[1] SUN Xiao-meng HUANG Qin LIU Wei DUAN Xiao-rong YE Hu LU You-sheng LUAN Rong-sheng(West China School of Public Health, Sichuan University, Chengdu Sichuan 610041, China)

机构地区：[1]四川大学华西公共卫生学院(华西第四医院),四川成都610041 [2]昭觉县卫生和计划生育局,四川昭觉616150 [3]西昌市卫生和计划生育局,四川西昌615000 [4]德昌县卫生和计划生育局,四川德昌615500 [5]盐源县疾病预防控制中心,四川盐源615700

出　　处：《现代预防医学》2016年第22期4118-4120,4125,共4页Modern Preventive Medicine

摘　　要：目的分析凉山州昭觉、西昌、德昌、盐源4地区实施主动检测咨询服务(Provider Initiate Testing and Counseling,PITC)的成本效果,并进行地区间比较,为在艾滋病不同流行地区合理分配检测咨询资源提供建议。方法采用成本-效果法对2008-2015年4地区PITC总成本投入、检测人数、发现比例和例均成本进行分析比较。结果 2008-2015年昭觉、西昌、德昌、盐源PITC资金总投入分别为4 180 870、6 141 660、3 373 095、4 173 905元,分别覆盖170 260、318 696、180 570、235 598人次,确诊2 452(1.44%)、1 141(0.36%)、407(0.23%)、101人(0.04%),发现并确诊艾滋病感染者/患者例均成本分别为1 705.09、5 382.70、8 287.70、41 325.79元。结论医疗机构主动提供艾滋病检测咨询服务日益健全;根据疫情分类开展PITC使其更具有成本效果价值。Objective The aim of this study was to analyze and compare the cost-effectiveness of PITC in four different regions in Liangshan prefecture, including Zhaojue county, Xichang, Dechang county and Yanyuan county with different epidemic situations, in order to provide recommendations for allocating test and counseling resources reasonably. Methods Cost-effectiveness analysis was used in evaluating and comparing the total founding of PITC, the number of people tested, the proportion of patients diagnosed, and the cost in each confirming case of the four areas from 2008 to 2015. Results The total founding for PITC of Zhaojue, Xichang, Dechang, Yanyuan were RMB 4180870, 6141660, 3373095, 4173905, respectively. The number of people provided PITC were 170260, 318696, 180570, 235598, respectively. The number of people confirmed HIV were 2452 （1.44%）, 1141 （0.36%）, 407 （0.23%）, 101 （0.04%）, respectively. The average cost of confirming HIV infection was RMB 1302.31, 6904.13, 6917.01, 31959.50 respectively. Conclusion The system of PITC is getting better. Implementing PITC based on different status of epidemic would be more cost-effective.

关 键 词：艾滋病 主动检测咨询服务 成本-效果分析 县际比较 检出阳性率 

分 类 号：R183[医药卫生—流行病学]