陕西省农村妇女宫颈癌筛查方案的卫生经济学评价  

Health Economic Evaluation on Cervical Cancer Screening Strategy for Females in Rural Areas of Shaanxi

作　　者：闫菊娥[1] 杜蕾蕾[1] 耿顺利 任杨玲 厉旦 

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91-94,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宫颈癌免费检查项目取得的成效并从经济学的角度进行评价,为项目的后续开展提供政策建议;方法:利用描述性统计方法对宫颈癌检查项目的开展情况以及疾病检出情况进行分析,通过成本-效果、成本-效益、成本-效用三种经济学评价方法对现有检查方案进行评价;结果:妇女对宫颈癌相关知识的知晓率以及妇科疾病的参治率较低,检查项目的覆盖率由开展第一周期(2009—2011年)的18.42%增加到第二周期(2012—2014年)的45.17%。2009年至2014年,早期发现成本系数为0.72-1.99,成本效益比为0.144 5-0.146 1,增量成本效用比与人均GDP的比值为0.574 0-0.581 6,通过经济学评价,该项检查项目能够取得良好的效果、效益与效用。结论:积极动员广大妇女,做好宣传方式的多样化与无缝衔接,适当增加财政补助,确保资金的及时到位,继续深化推行现有方案,对不足之处加以改进。Objective： To analyze the effect of the free screening program for cervical cancer among rural females in Shaanxi, eval- uate it from the perspective of economics and provide policy recommendations for the project. Methods： Descriptive statistics were used to analyze the condition of the implementation of the project and the detection of the diseases, through economic methods of cost-effectiveness, cost-benefit and cost-utifity to evaluate the project. Results： The awareness rate of the cancer-related knowledge and the treatment rate of the gynecological diseases were low, the coverage rate increased from 18.42% of the first cycle （2009-2011） to 45.17% of the second period（2012-2014）. From 2009 to 2014, the early detection cost index was 0.72-1.99, the cost-benefit ratio was 0.1445-0.1461, incremental cost utility ratio and per capita GDP ratio was 0.5740-0.5816. Througb the economic evaluation, the project could achieve well effectiveness, benefit and utility. Conclusion： It needed to mobilize the majority of women, do a diversifica- tion and seamless publicity, appropriately increase the financial investment, ensure the funding release timely, continue to deepen and improve the existing program.

关 键 词：宫颈癌筛查 成本-效果分析 成本-效益分析 成本-效用分析 陕西 

分 类 号：R737.33[医药卫生—肿瘤]