江苏油田成人乙肝疫苗接种9年后的成本效益分析

Cost and Benefit Study on Hepatitis B Vaccination among Adults in JiangSu Oil Field

目的 了解成人接种乙型肝炎(乙肝)疫苗后的经济效益与社会效益,进一步对成人推广接种乙肝疫苗提供依据。方法 对1994～1995年接种乙肝疫苗及1994～2 0 0 3年未接种乙肝疫苗2组人群,采用多级分层的抽样方法,调查接种者989人,未接种者991人,对2 0名乙肝患者进行乙肝费用调查。结果 成本-效益:1994～1995年江苏油田两采油厂投入成本5 1.94万元(2 0 0 3年的贴现值) ,产出效益1744 5 0万元,净效益1692 .5 6万元,效益成本比值为3 3 .5 9;减少乙肝病人191人,减少乙肝病毒表面抗原携带者(HBsAg阳性) 45 5人。结论 成人接种乙肝疫苗具有巨大的经济效益与社会效益。

Objective] To learn the economic and social bene fit of hepatitis B va ccination among adults and provide basis for popularizing hepatitis B vaccinatio n. [Methods] 989 vaccinated persons, 991 unvaccinated persons and 20 hepatitis B patients were randomly chosen and surveyed according to stratified sampling in Jiangsu oil field. [Results] Economic benefit analysis showed that discounted cos t was 519 400 yuan, production benefit was 17 445 000, net benefit was 16 92 5 60 0, ratio of cost and benefit was 33.59; social benefit analysis showed that 191 persons were free from hepatitis B, the number of HB sAg carriers were reduced b y 455. [Conclusion] Hepatitis B vaccination among adults has s ignificant economic and social benefit.