2008～2010年福建省结核病防治成本-效果与效益分析

Analysis of cost-effectiveness and cost-benefit of tuberculosis control in Fujian province from 2008 to 2010

目的分析福建省结核病防治成本-效果与效益。方法利用2008～2010年结核病网络专报系统患者资料和省、市、县各级经费报表,利用Excel2007进行数据统计分析。结果 2008～2010年间,福建省共登记肺结核患者68 310例,成功治疗肺结核患者60 133例,登记患者因结核病死亡217例。估算减少肺结核患者死亡16 861例,避免感染健康人272 691人,减少产生新的肺结核患者27 270例。全省共投入6 438.45万元,挽回社会经济价值953 429万元。在结核病防治工作上每投入1元,能产生71.3元的经济效益,每挽回1个DALY损失,政府仅需投入172.6元。结论福建省结核病防治成本-效果与效益显著,全省疫情得到有效控制,为经济建设和社会发展做出贡献。

Objective To analyze the cost-effectiveness and cost-benefit of TB control in Fujian province.Methods The data of TB cases based online report system from 2008 to 2010 and the financial statements of provincial and municipal and county level were collected and analyzed.Results In total,68 310 tuberculosis cases were registered from 2008 to 2010,60 133 cases had completed treatment and 217 cases registered were died from TB.It was estimated that TB control from 2008 to 2010 could reduce the death toll of 16 861 TB cases,avoided 272 691 healthy people from infection with TB,and a reduction of 27 270 new TB cases.Totally.RMB64 384 500 yuan was put into TB control and prevention,and saved RMB9 534 290 000 yuan of the social economic value.Every one yuan was put into the work of TB control and prevention,could produce 71.3 yuan of the economic benefit.The govenrment input a RMB 1 yuan could give rise to a benefit of RMB71.3 yuan.Conclusion The cost-effectiveness and cost-benefit of TB control in Fujian was notable,the epidemic of TB was efficaciously controlled,and all these help to the economic construction and social development.