摘要
目的分析评价临湘市实施结核病控制项目的社会效益和经济效益,为卫生资源投入与使用提供科学依据。方法收集2002-2008年结核病控制项目季报、年报及人口学资料,进行成本-效果、成本-效用及成本-效益分析。结果 7年间政府及相关国际组织投入经费93.5万元,每发现并治疗一例患者费用为342.2元(93.5万/2732),病人投入费用为210.5万元,每例患者为1112.7元(304万/2732)。7年共治愈病人1546例,共挽回DALY16293年,按临湘市平均期望寿命74.5岁计算[5],共获得218(16293/74.5)个完整生命。减少新肺结核病人2319例,节省费用1484.2万元。按国内生产总值(GDP)计算,7年平均人均GDP9037.6元/年,挽回GDP损失约1.5亿。按临湘市农民人均纯收入4063元计算,避免了因病造成的个人收入损失达6619.8万元。结论 7年来临湘市结核病控制项目取得了明显的社会效益和经济效益,为保障人民群众身体健康做出了积极贡献。
Objective To evaluate the social and economic benefits of implementation of TB control project in Linxiang, and to provide a scientific basis for the investment and use of health resources. Methods Quarterly and annual reports of Tuberculosis Control Project and demographic data from 2002 to 2008 were collected, and then cost- effectiveness, costutility and cost- benefit were economically analyzed. Results During the period of 7 years, the governments and relevant international organizations invested the funds 935,000 Yuan, the cost of discovering and treating each case was 342.2 Yuan （935,000/2,732）. The expense of the patient was 2,105,000 Yuan, and each patient cost 1,112.7 Yuan （3,040,000/ 2,732）. Totally 1,546 patients were cured during the period of 7 years, and DALY of 16,293 years was saved, it meant 218 （16,293/74.5） complete life saved if calculated according to the average life expectancy of 74.5 years old in Linxiang 2,319 cases of new pulmonary tuberculosis patients were reduced and 14,842,000 Yuan were saved. According to GDP, the average per capita GDP was 9,037.6 Yuan/year in 7 years, and the loss of about 1.50,000,000 Yuan were saved. According to the average net income of 4,063 Yuan per farmer in Linxiang, the personal income loss which was caused by sickness ＂amounting to 66,198,000 Yuan was avoided. Conclusions TB Control Project from 2002 to 2008 has achieved significant social and economic benefits in Linxiang, and it make a positive contribution to protect the health of the people.
出处
《实用预防医学》
CAS
2010年第7期1280-1282,共3页
Practical Preventive Medicine
