广州市新型冠状病毒肺炎病例主动筛查的成本效果评价  

Cost effectiveness evaluation of COVID-19 active screening strategies,Guangzhou

作　　者：黄勇[1] 倪莉红[1] 陈远源 刘艳慧[1] 马钰[1] 汪慧[1] 贺晴[1] 孙丽丽[1] 景钦隆[1] 罗雷[1] 张周斌[1] HUANG Yong;NI Li-hong;CHEN Yuan-yuan;LIU Yan-hui;MA Yu;WANG Hui;HE Qing;SUN Li-li;JING Qin-long;LUO Lei;ZHANG Zhou-bin(Guangzhou Center for Disease Control and Prevention,Guangzhou,Guangdong 510440,China)

机构地区：[1]广州市疾病预防控制中心,广东510440

出　　处：《现代预防医学》2021年第1期97-100,共4页Modern Preventive Medicine

基　　金：广州市医学重点学科建设项目(2017-2019-07)。

摘　　要：目的分析广州市新型冠状病毒肺炎(新冠肺炎)病例主动筛查方案的成本效果,为现阶段疫情高发国家入境人员筛查方案的选择提供科学依据。方法收集广州市新冠肺炎病例主动筛查资料,分析不同筛查方案的筛查效果和成本效果。结果截至2020年3月8日,广州市通过集中或居家医学观察、医疗机构筛查、密切接触者管理、交通工具排查发现194例病例,占全部病例的55.91%;5种方案的筛查率差异有统计学意义(P<0.001),其中密切接触者管理筛查率最高,为250.90/万。与疫情下降期和疫情稳定期相比,病例主动筛查方案在疫情增长期具有最优的成本效果。与集中和居家医学观察相比,医疗机构筛查、密切接触者管理、交通工具排查具有相对较优的成本效果。结论不同的主动筛查方案具有不同的筛查效果和成本效果。目前全球出现疫情暴发,在入境人员有一定感染比例的背景下,应尽可能通过各种途径进行主动筛查。定期进行疫情风险评估,及时调整策略,避免浪费不必要的资源。Objective To analyze cost-effectiveness of COVID-19 active screening strategies in Guangzhou City,and to provide scientific basis for the selection of the strategies for incoming passengers.Methods The epidemic data was collected,and the cost data of different COVID-19 active screening strategies was conducted to analyze cost effectiveness.Results 194 cases were found in Guangzhou City through centralized or home-based medical observation,screening of medical institutions,management of close contacts and screening of vehicles,accounting for 55.91%of the total cases.There was significant difference in the screening rate of different active screening strategies(P<0.001).Management of close contacts had the highest screening rate,which was 250.90/10000.Compared with the declining epidemic period and the stable epidemic period,the active case screening strategies had the best cost-effectiveness of COVID-19 screening in the increasing epidemic period.Compared with centralized and home-based medical observation,screening of medical institutions,management of close contacts and screening of vehicles had better cost-effectiveness of COVID-19 screening.Conclusion The active screening strategies have different cost-effectiveness.The outbreaks of COVID-19 have spread quickly in many countries around the world.Active screening strategies for incoming passengers should be carried out.The risk assessment of global COVID-19 epidemiological trends should be carried out regularly,and the strategies should be adjusted in time to avoid wasting unnecessary human and material resources.

关 键 词：新型冠状病毒 病例主动筛查 成本效果 

分 类 号：R563.1[医药卫生—呼吸系统]