肺结核病人全监短化管理成本效益分析

Analysis of cost and benefit about conducting DOTS management to the patients with pulmonary tuberculosis

目的 评价肺结核病人全监短化管理的经济效益。方法 运用成本—效益分析， 对沁源县实施肺结核病人全监短化管理三年与非全监短化管理前三年进行比较， 计算其净增效益。结果 实施全监短化管理三年治疗患者５０８ 例， 治疗成本２７７ ３８３－９５ 元， 较前三年增加效益１ ７９７ ７５５－４０ 元， 净增效益１ ５２０３７１－４５ 元。结论 对肺结核病人实施不住院全监短化管理可产生显著的经济效益。

Objective To appraise the economic benefit about conducting DOTS management to the pulmonary TB cases.Methods Cost—benefit analysis and it is talked about how to get the net benefit by comparing having conducted DOTS management for three years with that of three years ago.Results 508 pulmonary TB Patients from Qinyuan County have been treated by DOTS and only cost 277?383 95 yuan,benefit has increased to 1?797?755 40 yuan more than that of three years ago.Net benefit 1?520?371 45 yuan.Conclusion It can take good benefit to conduct DOTS Management to the ambulatory pulmonary TB patients.