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机构地区:[1]西安交通大学公共政策与管理学院卫生管理与政策研究所,西安710049 [2]西安交通大学医学院,西安710061
出 处:《中国卫生经济》2016年第12期88-91,共4页Chinese Health Economics
基 金:国家社会科学基金项目(12BJY143)
摘 要:目的:分析陕西省农村妇女乳腺癌免费筛查项目取得的成效并对其进行经济学评价,为项目的持续有效进行提供政策建议。方法:通过现场调查和机构调查获取数据资料,以检查覆盖率、检出率、增量成本效果比值/人均GDP、成本-效益比等指标对项目运行效果进行评价。结果:妇女对乳腺癌检查的参与及乳腺癌防治知识知晓情况较低,从2009年至2014年,检查覆盖率由0.31%增加到1.04%,检出率为24.63/10万增加到83.44/10万,增量成本效果比值/人均GDP由8.91下降到2.64,成本-效益比由13.09下降到3.88。结论:加强宣传教育工作,扩大检查项目的实施范围,增加检查投入,优化成本结构,继续深化推行现有方案,提高检查效果。Objective: To analyze the effect of the free screening program for breast cancer among rural females in Shaanxi, conduct the economic evaluation and provide excessive policy recommendations for the project. Methods: Field investigation and institutional sur- vey were conducted to obtain data, the effect was measured by using the coverage rate, cancer detection rate, incremental cost effectiveness/ per capita GDP ratio, cost-benefit ratio and so on. Results: The Participation rate and awareness rate for the breast cancer prevention knowledge were low. From 2009 to 2014, the coverage rate increased from 0.31% to 1.04%, the detection rate increased from 24.63/100 thousand to 83.44/100 thousand. Incremental cost effectiveness ratio and per capita GDP ratio decreased from 8.91 to 2.64. The cost-bene- fit ratio decreased from 13.09 to 3.88. Conclusion: It needed to strengthen the publicity and education, expand the scope of the inspection projects, increase the investment in inspection, optimize the cost structure and continue to deepen the existing programs to improve the ef- fectiveness of inspection.
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