2004-2005年三门峡市结核病防治的卫生经济学评价

Health Economic Evaluation on Tuberculosis Control in Sanmenxia City

目的分析评价三门峡市实施结核病控制项目的社会效益与经济效益,为财政、卫生部门的卫生资源投入与使用提供科学依据。方法对2004-2005年全市结核病控制项目季报、年报及有关调查资料,做成本-效果分析、成本-效用分析、成本-效益分析。结果两年来利用项目经费160万元,治愈初、复治涂阳肺结核病人1392例,预计减少的GDP损失和预计减少的收入损失分别为18211.34万元、11184.41万元,减少造成新的传染性病人2088例。结论两年来三门峡市利用中央和地方专项经费防治结核病成效显著,是一项投入少、经济效益和社会效益巨大的疾病控制项目,完全符合疾病控制与卫生经济学成本的原则。

Objective To analyze the social benefit and economic benefit of TB Control Program in Sanmenxia, and to provide a scientific reference for both finance and health departments to properly invest and use health resource. Method The quarter and annual reports from 2004 to 2005 were collected to analyze cost- effectiveness, cost- utility, and cost- benefit. Results Totally 1,392 cases of pulmonary tuberculosis were cured by using program funds of 1.6 million RMB Yuan in the past two years. It is estimated that the losses both GDP and income are reduced by 182.11 and 111.84 million RMB Yuan. 2,088 individuals were avoided for suffering from TB. Conclusions Good effects are got in implementation of the project by using program funds in the past two years. Although the investment fund is low, good social and economic benefits have been achieved. It is a cost - effective disease control project.