2001～2010年许昌市实施结核病防治规划卫生经济学评价

Health Economic Evaluation on the National Tuberculosis Control Program,Xuchang City,2001-2010

[目的]评价许昌市2001～2010年实施《全国结核病防治规划(2001-2010)》(简称规划)的成本效果与效益。[方法]对许昌市2001～2010年结核病控制工作相关报表和《规划》终期评估表,采用成本-效果与效益方法进行评价。[结果]2001～2010年许昌市累计登记25 976例活动性肺结核患者,因结核病死亡135例,成功治疗13 782例涂阳患者和10 661例涂阴患者,涂阳患者治愈率为91.06%。估算全市减少因肺结核死亡6 359例,避免感染112 070例,避免新发患者11 203例,节约医疗费用7 632 229.73元,挽回152 730.08个伤残调整生命年(DALY)和1 860 856 049.71元社会总价值,成本效用比为97.21,效益成本比为125.85。[结论]许昌市实施《规划》后,挽回了大量的社会总价值,取得了显著的社会效益和经济效益。

[Objective]To evaluate the cost-effect of the National Tuberculosis Control Program（2001-2010） （NTP） in Xuchang city during 2001-2010. [Methods]The reports of the tuberculosis control work and the final evaluated tables were evaluated in Xuchang city by using the methods of cost-effect and benefit. [Results]There were 25 976 active TB cases registered in Xuchang city during 2001-2010 ,and 135 cases died of TB. There were 13 782 smear positive TB cases and 10 661 smear negative TB cases were successfully. The cure rate of smear positive cases was 91.06 %. It was estimated that 6 359 cases avoided death, 112 070 avoided infection, 11 203 cases avoided new cases. There were about 7 632 229.73 Yuan saved in medical expenses,and 152 730. 08 DALYS restored,and about 1.83 billion Yuan social overall cost saved. The cost-utility ratio was 97.21. The cost-benefit ratio was 125.85. [Conclusion]Through the implementation of the NTCP in Xuchang city,a lot of total social value have been saved,and significant social and economic benefits have been achieved.