昭通市2011-2015年结核病防治成效分析

Economic evaluation on TB control programme in Zhaotong City,2011-2015

目的评价昭通市实施《结核病防治规划(2011—2015)》的卫生经济学效果,为制定下一阶段防治规划提供决策依据。方法收集规划期内结核病防治工作资料作数据汇总,进行成本与效果和效用及效益分析。结果规划期间社会投入共计约4 826 355元,通过成功治疗7 419例传染性患者,避免新增感染55 643例;避免新发患者5 564例,减少社会医疗费用389.48万元;挽回52 858个伤残调整生命年(DALY),挽回社会总价值4.17亿元;每避免1个健康人受传染仅需投入86.74元,每挽回1个DALY损失仅需投入91.31元,每投入1元防治经费可产生87.71元的社会经济效益。结论昭通市实施《规划》后,取得了显著的社会效益和经济效益。

Objective To evaluate the health economic effects of the TB Control Planning during 2011 to 2015 in Zhaotong, we provide scientific suggestions to the next TB control planning. Methods Collecting the data of TB prevention and control during the planning period, and we used the statistical analysis of the cost-effectiveness. Results Society input was about 4 826 355 RMB, 7 419 infectious TB cases were treated in Zhaotong during 2011 to 2015. Therefore,55 643 new infections and 5 564 new cases were prevented. 52 858 disability adjusted of life years（DALY） were restored, reducing the social medical expenses of 3 894 800 RMB, and restoring social total value of 417 million RMB. The expense which was used to make a healthy person avoid infecting was 86.74 RMB. The expense which was used to restore 1 DALY was 91.31 RMB.Investing 1 RMB prevention funds could produce 87.71 RMB social and economic benefits. Conclusion The implementing of TB Planning has obtained the remarkable social effect and economic benefit.