2018—2020年泸州市HIV扩大检测策略成本效果分析  

Cost-effectiveness analysis of expanded HIV testing strategy in Luzhou city from 2018 to 2020

作　　者：卓玛拉措 曾亚莉[1] 冯才碧 肖体呈 刘伦皓[1] 叶黎[1] 袁风顺 苏玲[1] 王秋实 徐梦娇 梁姝[1] ZHUOMA La-cuo;ZENG Ya-li;FENG Cai-bi;XIAO Ti-cheng;LIU Lun-hao;YE Li;YUAN Feng-shun;SU Ling;WANG Qiu-shi;XU Meng-jiao;LIANG Shu(Institute of STD/AIDS Prevention and Control,Sichuan Center for Disease Control and Prevention,Chengdu,Sichuan 610041,China)

机构地区：[1]四川省疾病预防控制中心,性病艾滋病预防控制所,四川成都610041 [2]泸州市疾病预防控制中心

出　　处：《现代预防医学》2024年第3期484-488,共5页Modern Preventive Medicine

基　　金：四川省疾病预防控制中心自立课题(ZX202014)。

摘　　要：目的 分析2018—2020年泸州市HIV扩大检测策略的成本效果,为当地因地制宜实施或调整该策略提供依据。方法 通过自制的成本收集工具收集各级HIV检测机构开展检测工作的成本信息,从中国疾病预防控制信息系统获取检测人次数和新报告病例数,利用Bernoulli-process模型估计性传播途径所避免的新发感染人数,以成本效果比为指标进行成本效果分析。结果 2018—2020年泸州市在HIV扩大检测工作中累积投入成本贴现后为15 175.5万元,三年间平均成本为5 058.5万元。三年共有559.9万人次接受HIV检测,新发现病例7 318例,检测平均成本为27.1元/人次。经Bernoulli-process模型计算得到泸州市因性传播所避免的新发感染人数为545(67~7 373)人。成本效果分析显示,2018—2020年,检出1例HIV感染者的成本为2.1万元,避免1例HIV感染者的成本为9.2(0.7~75.5)万元。结论泸州市2018—2020年实施的HIV扩大检测策略符合成本效果原则,具有较好的经济性。各地开展检测的成本-效果差异较大,应根据各地疫情流行现状分类实施扩大检测策略。Objective To analyze the cost-effectiveness of the expanded HIV testing strategy in Luzhou from 2018 to 2020,and to provide a basis for implementing or adjusting the strategy according to local conditions.Methods The cost data of HIV testing institutions at all levels were collected by self-made cost collection tools,and the number of tested people and newly reported cases were obtained from China Disease Prevention and Control Information system.The number of potential HIV infections averted by the sexual transmission route was estimated using the Bernoulli-process model,and the cost-effectiveness ratio was analyzed.Results From 2018 to 2020,the cumulative investment cost of Luzhou city in the HIV expansion testing was 151.76 million yuan after discounting,and the average cost in the three years was 50.58 million yuan.A total of 5.60 million people received HIV test in the past three years,with 7318 new cases detected,and the average cost was 27.1 yuan per test.According to the Bernoulli-process model,the number of new infections prevented by sexual transmission in Luzhou city was 545(67-7373).Cost effectiveness analysis showed that from 2018 to 2020,the cost for identifying each new HIV-infected person was 21000 yuan,and 92000 yuan(7000-755000)for preventing each HIV infection.Conclusion The expanded HIV testing strategy implemented in Luzhou from 2018 to 2020 accords with the cost-effectiveness principle and has economic effects.The cost-effectiveness of testing varies greatly in different regions,so the expanded testing strategy should be implemented according to the epidemic situation of different regions.

关 键 词：HIV 检测策略 成本效果分析 

分 类 号：R512.91[医药卫生—内科学]