内蒙古自治区结核病控制项目经济学评价

Health Economics Evaluation of TB Control Project in Inner Mongolia

目的通过对内蒙古自治区结核病控制项目的卫生经济学评价，为卫生资源投入与合理使用提供科学依据。方法采用成本一效果分析、成本一效用分析、成本一效益分析方法对2005—2012年内蒙古自治区结核病控制项目资金的投入与效果进行卫生经济学评价。结果2005—2012年内蒙古自治区结核病控制项目实施DOTS策略后共挽回DALY1555672．3年，共获得22003个完整生命；减少新发传染性肺结核病人73805110708例，避免了新发病例DALY损失777836．16～1166751．61年。DOTS策略每治愈1例结核病人需花费1825．72元，节省费用4574．28元，总计节省费用67521．28万元。结论DOTS策略减轻了肺结核患者的经济负担，是一项低投入高效益、高效果的策略。

Objective Through to the Inner Mongolia autonomous region health economics evaluation of tuberculosis control project, as input and provide a scientific basis for the rational use of health resources. Methods The cost-effectiveness analysis, cost-utility analysis, cost-benefit analysis method for the Inner Mongolia autonomous region in 2005-2012 of tuberculosis control project funds investment and effect evaluation of health economics. Results Tuberculosis control project in the Inner Mongolia autonomous region in 2005-2012 were retrieved DALY 1 555 672.3 years after the DOTS, received 22 003 full life; Reduce new infectious tuberculosis patients from 73 805 to 110 708 example, DALY new cases to avoid the loss of 777 836.16 - 1 166 751.61 years. DOTS per cure 1 case of tuberculosis person will cost 1 825.72 yuan, save cost 4 574.28 yuan, total saving cost 67 521.28 million yuan. Conclusion DOTS strategy to reduce the economic burden of the tuberculosis patients, it is a low input and high benefit, high strategy.