哈尔滨市儿童口腔健康综合干预项目预防第一恒磨牙龋病的经济学评价研究  

An Economic Evaluation on Harbin Integrated Children’s Oral Health Intervention Program for the Prevention of Dental Caries in First Permanent Molars

作　　者：王研 李抒彧 刘冰洁 鞠培艳 郭武德 刘国祥 张歆 Wang Yan;Li Shuyu;Liu Bingjie;Ju Peiyan;Guo Wude;Liu Guoxiang;Zhang Xin(Department of Health Economics,School of Health Management,Harbin Medical University,Harbin,150081,China;不详)

机构地区：[1]哈尔滨医科大学卫生管理学院卫生经济学教研室,哈尔滨150081 [2]哈尔滨医科大学附属肿瘤医院纪委办公室,哈尔滨150081

出　　处：《中国卫生经济》2023年第7期13-16,共4页Chinese Health Economics

摘　　要：目的:对哈尔滨市适龄在校儿童口腔健康综合干预项目预防第一恒磨牙龋病的经济性进行评价,为进一步扩大项目覆盖范围提供经济学证据。方法:基于哈尔滨市适龄在校儿童口腔健康综合干预项目资料,建立Markov模型。结果:封闭组和空白组发生龋齿数量分别为29909颗牙和83533颗牙,患龋率分别为8.92%和24.92%;封闭组的患龋率降低了16.00%;封闭组相对于空白组而言,ICER和ICUR分别为-33.69元/避免一颗龋齿发生和-36.88元/QATY,成本-效果和成本效用分析均显示封闭组为绝对优势策略。敏感性分析显示模型稳定性较好。结论:对适龄儿童的第一恒磨牙进行窝沟封闭预防龋齿具有极佳的经济性,建议进一步扩大项目的覆盖范围。Objective:To evaluate the economic effectiveness of the Harbin school-age Integrated Oral Health Intervention Pro-gram for the prevention of dental caries in first permanent molars,and to provide economic evidence for further expansion of the pro-gram coverage.Methods:A Markov model was established based on the data from the comprehensive oral health intervention pro-gram for school-age children in Harbin.Results:The number of dental caries was 29909 in the sealing group and 83533 in the blank group,and the caries prevalence were 8.92%and 24.92%,respectively,and the caries prevalence was reduced by 16.00%in the sealing group.Compared with the blank group,the ICER and ICUR of the sealing group were-33.69 yuan/a caries avoided and-36.88 yuan/QATY,respectively.The cost-effectiveness and cost-utility analysis showed that the sealing group was an absolute superior strategy.Sensitivity analysis showed that the model was stable.Conclusion:Vulcanization of the first permanent molars of school-age children for the prevention of dental caries is extremely economical and further expansion of the programme is recommended.

关 键 词：儿童口腔健康综合干预 窝沟封闭 MARKOV模型 卫生经济学评价 哈尔滨 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R19-0