山东省泰安市“十一五”和“十二五”结核病防治规划实施效果对比研究

Comparative study on implementation effect of the llth five-year plan and 12th five-year plan on TB control in Tai＇an City of Shandong Province

目的对比分析泰安市“十一五”和“十二五”期间结核病防治（简称“结防”）规划实施效果，为泰安市结防工作健康可持续发展提供依据。方法从国家结核病管理信息系统中分别导出2006--2010和20112015年泰安市结核病患者发现、追踪和治疗转归数据；其他数据来自结核病防治日常监测报表资料，以及省结核病防治中心和市财政局有关经费拨付文件等。采用Excel2003软件和SPSS19．0统计软件包进行汇总、统计分析。结果“十一五”期间，全市用于结核病防治工作的总经费为1077．79万元，累计接诊67289例可疑症状者，共发现活动性肺结核患者14936例，全市非结防机构报告肺结核及可疑患者总体到位率89．74％（5849／6518）；全市的新涂阳肺结核患者治愈率93．00％（7643／8218），复治涂阳治愈率88．92％（1765／1985）；5年间估算可节约医疗费用438．93万元，挽回社会经济总价值达153561．27万元，政府每投入1元钱，可产生142．89元的社会经济效益。“十二五”期间，全市用于结核病防治工作的总经费为1350．74万元，累计接诊73641例可疑结核病症状者，共发现活动性肺结核患者12146例，全市非结防机构报告肺结核及可疑患者总体到位率99．07％（9507／9596）；新涂阳肺结核患者治愈率94．18％（4479／4756），复治涂阳治愈率89．38％（724／810），5年间估算可节约医疗费用290．42万元，挽回社会经济总价值达228866．02万元，政府每投入1元钱，可产生169．65元的社会经济效益。结论泰安市“十一五”和“十二五”期间结核病防治规划实施成效明显，“十二五”期间社会、经济效益更为显著。

Objective To evaluate the effects of tuberculosis （TB） prevention and control program in Tat＇an City by implementing the 11th Five-year Plan and the 12tb Five-year Plan on TB control, and to provide evidence for the sustainable development of the TB prevention and control in Tat＇ an. Methods The data related to the TB patients detection, tracing and treatment outcomes in 2006-2010 and 2011--2015 were respectively exported from the national TB recording and reporting system; other data and information were collected from the routine monitoring report forms and the documents issued by the Shandong Provincial Center for TB Prevention Control and the Tat＇ an Financial Bureau. Excel 2003 and SPSS 19.0 statistical software package were used for the data aggregation and statistical analysis. Results During the llth Five-year period, the total funds for TB control was 10. 779 million yuan RMB. The cumulative number of cases with TB symptoms and sought health care was 67 289, and 14 936 cases were confirmed to be active pulmonary TB. The overall arrival rate of the TB patients or TB suspects who were reported and referred by the general health facilities and arrived at the TB facilities was 89.74% （5849/6518）. The cure rate of the new smear-positive pulmonary TB patients was 93.00% （7643/8218） while it was 88.92% （1765/1985） in the retreatment smear-positive pulmonary TB cases. It was estimated that around 4.39 million yuan RMB medical expenses were saved in five years, and a total social economic value was 1.54 billion yuan RMB. It means 1 yuan RMB investment by the government can produce 142.89 yuan RMB social economic benefits. During the 12th Five-year period, the total funds on TB control was 13.51 million yuan RMB. The cumulative number of cases with TB symptoms and sought health care was 73 641, and 12 146 cases were confirmed to be active pulmonary TB. The overall arrival rate of the TB patients or TB suspects who were reported and referred by the general health facilities and arrived at the TB facilities was 99.07~ （9507/9596）. The cure rate of the new smear-positive pulmonary TB patients was 94.18% （4479/4756） while the cure rate of the re-treatment smear-positive pulmonary TB patients was 89. 38% （724/810）. It was estimated that around 2. 9 million yuan RMB medical expenses were saved in five years and a total social economic value was 2. 29 billion yuan RMB. It means 1 yuan RMB investment by the government can produce 169. 65 yuan RMB social economic benefits. Conclusion An obvious effect on TB prevention and control has been achieved by the implementation of the llth Five-year Plan and 12th Five-year Plan in Tai＇an City, and the social and economic benefits are more significant in the 12th Five-year Plan period.