1992-2013年北京市医院产科乙型肝炎疫苗免疫规划接种成本测算与分析  

Cost estimation of hepatitis B vaccine immunization in obstetrics departments of hospitals in Beijing, 1992–2013

作　　者：高培[1,2] 王丹 石诗雯[3] 吕敏 石学峰[3] 吴疆 郭艺玮[3] 王溪[3] Gao Pei;Wang Dan;Shi Shiwen;Lyu Min;Shi Xuefeng;Wu Jiang;Guo Yiwei;Wang Xi(Beijing Municipal Center for Disease Prevention and Control,Beijing 100013,China;Beijing Research Center for Preventive Medicine. Beijing 100013,China;Management School of Beijing University,of Traditional Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京市疾病预防控制中心,北京100013 [2]北京市预防医学研究中心,北京100013 [3]北京中医药大学管理学院,北京100029

出　　处：《疾病监测》2019年第2期179-182,共4页Disease Surveillance

基　　金：北京市科学技术委员会课题(No.D161100002716005)~~

摘　　要：目的测算并分析北京市医院产科乙型肝炎(乙肝)疫苗免疫规划工作的成本及变化规律,为乙肝免疫规划政策的制定、乙肝免疫项目投入–产出评价提供参考和数据支撑。方法采用现场调查、问卷调查等方法,利用ACCESS软件建立数据库并进行2次数据录入,采用SAS 9.4软件对注射时长的差异进行配对t检验,采用Excel 2016软件对医院注射总成本和单位成本等数据进行描述性分析。结果 1992—2013年,北京市医院产科乙肝疫苗接种总成本(医院总成本)由41.00万元增长为434.42万元,总成本年均增长率为11.90%,医院产科乙肝疫苗接种单位成本(医院单位成本)则由5.38元增长为37.25元,增长了7倍,单位成本年均增长率为9.65%,医院产科在乙肝疫苗免疫规划项目发生的主要成本是人力成本,从一定程度上来说,医院总成本的增长是由于人力成本的增长。结论医院产科在乙肝疫苗接种方面发生的总成本、单位成本均呈明显上升趋势,单位成本的增长幅度小于总成本的增长幅度,人力成本的增长是医院总成本增长的主要原因。Objective To estimate the cost of hepatitis B vaccine(HBV)immunization and its change pattern in the obstetrics departments of hospitals in Beijing,and provide data support for policy-making and evaluation of HBV immunization efficiency.Methods Data collection was conducted through field investigation and questionnaire survey.Database was established with ACCESS software,and data were entered twice.Data analysis was performed with software SAS 9.4 and Excel 2016.Results From 1992 to 2013,the overall cost HBV immunization in obstetrics departments of hospitals in Beijing increased from 41.00 ten thousand yuan to 434.42 ten thousand yuan,with an annual growth rate of11.90%;and the unit cost increased by 7 times,from 5.38 yuan to 37.25 yuan,with an annual growth rate of 9.65%.The cost of HBV immunization mainly originates from labor cost.Therefore,to some extent,the growth of overall cost of HBV immunization in hospitals is due to the increase of labor cost.Conclusion In the obstetrics departments of hospitals in Beijing,both the overall cost and the unit cost of HBV immunization showed an obvious increasing trend.The growth rate of unit cost was lower than that of total cost,and the growth of total cost mainly attributed to the increase of labor cost.

关 键 词：医院产科 乙型肝炎 免疫规划 接种成本 

分 类 号：R51262[医药卫生—内科学]