景东县2004-2013年肺结核防治的卫生经济学分析

Health economics analysis of treatment and control for tuberculosis in Jingdong County from 2004 to 2013

目的运用卫生经济学方法对景东县2004-2013年肺结核防治工作进行评价,为结核病防控的可持续发展提供科学依据。方法采用描述性流行病学方法对景东县2004-2013年结核病流行病学特征进行分析,按照《全国结核病防治规划（2001-2010年）终期评估实施方案》进行卫生经济学评价。结果全县共发现活动性肺结核病患者1 610例,治疗成功1 533例。肺结核发病人群分布以15-64岁人群为主,职业分布以农民最多;结核病控制项目实施后减少了肺结核死亡患者403例,避免感染肺结核人数9 140人,避免新发患者914例;2004-2013年投入结核病防控的社会总成本为181.12万元,挽回失能调整生命年10 326.5个,挽回的社会总价值达5 849.07万元,成本效用比为175.39,效益成本比为32.29︰1。结论景东县结核病防控项目成效显著,取得了较好社会效益。

Objective This study was designed to analyze the epidemiological features of tuberculosis in Jingdong County from 2004 to 2013,and to assess the health economics effect of disease control and prevention. Methods A descriptive epidemiology method was used to analyze the features of tuberculosis in Jingdong County,2004-2013. Health economics assessment was performed in accordance with the ＂Final evaluation protocol to National Guideline for Control and Prevention of Tuberculosis,2001-2010＂Results From2004 to 2013,1610 active tuberculosis patients were found,and 1 533 patients completed the treatment. The age distributions of active tuberculosis patients were 15-64 years old,and most of them were peasants. National Program of Tuberculosis Control and Prevention reduced 403 patients dead from tuberculosis,prevented 9140 people infecting from tuberculosis,and avoided 914 new cases. The total social cost of tuberculosis control and prevention is 1.8112 million RMB,retrieved 10 326. 5 disability adjusted life year,and redeemed total social value of 58.4907 million RMB. The cost-utility ratio was 175.39,and benefit-cost ratio is 32.29︰1. Conclusion There is a significant effectiveness on the program of tuberculosis control and prevention,and good social benefits were achieved.