山东省免疫规划时期麻疹免疫预防工作的卫生经济学评价  

Health economics evaluation of measles immunization strategy in Shandong province during expanded program on immunization

作　　者：李永秋[1] 张英洁[2] 

机构地区：[1]山东大学附属省立医院,山东济南250021 [2]山东省疾病预防控制中心,山东济南250014

出　　处：《现代预防医学》2017年第1期106-109,共4页Modern Preventive Medicine

基　　金：山东省软科学研究计划项目(2014RKB14098);山东省软科学研究计划项目(2012RKB14134);山东省医药卫生科技发展计划面上项目(2014WS0115)

摘　　要：目的评估山东省免疫规划时期麻疹免疫预防工作的效果和效益。方法采用普查的方式进行自我填报式问卷调查获得免疫规划工作的总成本,利用专家咨询法确定非疫苗和注射器购置成本在不同针对传染病中的分配系数,用于测算控制麻疹的成本;将研究时期分为计划免疫前期、计划免疫时期和免疫规划时期进行成本效果分析、成本效益分析和成本净效益分析。结果山东省免疫规划时期防控麻疹成本为254 727.55万元,免疫规划时期与前两期分别进行比较,成本效果比和成本效益比均为正值,每投入1万元,可以分别减少发病43.19和1.2例,减少死亡0.46和0.003例;每投入1元,可以分别产生总经济效益44.39和1.17元,净效益43.39和0.17元。结论山东省免疫规划时期麻疹免疫预防工作可以获得较高的成本效果比和成本效益比,实现政府资源的有效配置。Objective To evaluate the effectiveness and benefits of Measles immunization strategy in Shandong province during Expanded Program on Immunization （EPI）. Methods A self- administered questionnaire was used to analyze the total cost of EPI in Shandong, and the Delphi method was used to determine the distribution coefficient of the other expense except for vaccine and syringe expense for calculating the cost of controlling Measles. The study periods were divided into three stages, before Planed Immunization, Planed Immunization, and EPI,to analyze cost - effectiveness, cost - benefit and cost - net benefit. Results During EPI,the total cost of controlling Measles was 2547275.5 thousand RMB. In contrast with the other two stages, per 10 thousand RMB investment,43.39 and 1.2 Measles cases,and 0.46 and 0. 003 deaths were reduced respectively. At the same time, respectively, a benefit of 44.39 and 1.17 RMB, or a net benefit of 43.39 and 0.17 RMB were produced per 1 RMB investment. Conclusion The project of Measles immunization during EPI in Shandong had gained a high cost - effectiveness and cost- benefit ratio,and had achieved an effective allocation of governmental resources.

关 键 词：免疫规划 麻疹 成本 效果 效益 

分 类 号：R186[医药卫生—流行病学]