摘要
目的 探讨部队甲肝疫苗接种的最佳策略 .方法 应用决策树模型和成本效用分析方法 .结果 部队官兵接种甲肝疫苗 ,先筛选后接种方案优于直接接种方案 ;采用先筛选后接种方案接种干部每增加一个 DAL Y将产生 16 8.2 3元的正效益 ,而新兵则需 2 792 .30元的净投入 .经灵敏度分析 ,该决策结果稳定 ,不随引入决策模型的各参数的变化而变化 .结论 在当前条件下 ,部队接种甲肝疫苗宜首选先筛选后接种方案 ,优先接种干部人群 .
AIM To determine the most cost effective vaccination strategy for preventing hepatitis A virus (HAV) infection. METHODS Decision tree and cost utility analyses were used. RESULTS The strategy of ‘screen and vaccination’ against HAV infection were more beneficial than the strategy of ‘direct vaccination’ in military. It will gain RMB$ 168.23 per DALY saved for officers while spending RMB$2792.30 per DALY saved for soldiers using ‘screen and vaccination’. Sensitivity analysis demonstrated that the result of decision making did not change with the fluctuation of the parameters. CONCLUSION From the view of cost effective ness, the officers in military should be taken as the most favorable vaccinated population by using the ‘screen and vaccination’ strategy.
出处
《第四军医大学学报》
2000年第10期1200-1203,共4页
Journal of the Fourth Military Medical University
基金
全军"九五"指令性课题!(96 L0 49)
关键词
甲肝疫苗
成本效用分析
接种
失能调整生命年
vaccine for HAV
cost utility analysis
disability adjusted life years
military
