摘要
目的 分析评价泰安市实施《结核病防治规划（2001~2010年）》的成本-效果与效益,为结核病防治工作的可持续发展提供参考。方法 按照《全国结核病防治规划（2001~2010年）》终期评估实施方案与细则,根据伤残调整寿命年（DALY）指标及成本效益分析方法,对泰安市投入的结核病防治社会成本与取得的效益和效果进行分析评价。结果2001~2010年,泰安市共登记活动性肺结核患者23 335例,其中因结核病死亡149例,涂阳患者成功治疗15 486例,涂阴患者成功治疗6 408例,估算全市减少肺结核患者死亡5 689例,避免感染104 449例,避免发病10 445例。全市投入的结核病防治社会总成本1 516.79万元,估算全市可减少医疗费用支出约711.57万元,共挽回的社会总价值约19.21亿元。每挽回1个伤残调整生命年（DALY）损失,政府仅需要投入约122元;政府每投入1元的结核病防治经费,可产生约127元的社会经济效益。结论 泰安市实施结核病防治十年规划社会经济效益显著。
Objective To evaluate the effect-benefit and cost-effect on tuberculosis control program in Tai＇an city during 2001-2010, so as to provide the scientific basis and support of sustainable development for the prevention of tuberculosis. Methods According to the final assessment of the implementation of the national TB control program during 2001- 2010,using the indicator of disability-adjusted life year （DALY） and cost-benefit method, to analyze and evaluate the in- vestment of the social cost of TB and the cost-benefit in Tai＇an city. Results During 2001-2010,23 335 cases of patients with active pulmonary tuberculosis were registered,of whom 149 died of TB and there were 15 486 smear positive TB cases and 6 408 smear negative TB cases successfully cured. It was estimated that 5 689 TB case avoided deaths, 104 449 a- voided being infected,and 10 445 cases avoided. 15. 161 9 million Yuan were invested in the total social cost for control and prevention of TB in Tai＇an city,about 7.12 million Yuan of medical costs was reduced,and 19.21 billion Yuan of social economic loss was saved. It was estimated that the investment of 122 Yuan can save a DALY,and it can achieve 127 Yuan output in finance if the cost of one Yuan was invested. Conclusion The implementation of 2001-2010 tuberculosis control and prevention program in Tai＇an city has achieved remarkable socio-economic effect.
出处
《预防医学论坛》
2014年第6期416-419,共4页
Preventive Medicine Tribune
关键词
结核肺
经济学
成本效益
评价研究
Tuberculosis
Economics
Cost-benefit
Evaluation studies
