新疆某地艾滋病防治卫生经济学评价

Evaluation on the Health Economics of HIV Prevention and Control in an Area of Xinjiang

目的:对新疆某地艾滋病综合防治开展卫生经济学评价,为政府合理配置卫生资源提供科学的依据。方法:收集目标地区2011—2015年艾滋病防治经费来源及使用情况结合数学模型预测结果开展成本效果及成本效益分析。结果:当地每减少一例新发感染所需成本约为5.7~6.1万元,成本效果数据呈逐年下降趋势,由2011年的8.9万元降至2015年的4.6万元;当地效益成本比为3.04~3.27,呈逐年上升趋势,由2011年的2.09上升至2015年的4.02;5年总收益高达6.79亿元,其中公共收益4.99亿元,个人收益1.80亿元。结论:艾滋病综合防治措施具有显著的成本效果和成本效益,建议政府在卫生资源分配时给予适当倾斜并制定资金的长期规划。

Objective： To provide suggestions for the rational allocation of health resources through the health economics evaluation of HIV prevention and control in all area of Xinjiang. Methods： The implementation cost of HIV prevention strategies from 2011 to 2015 was collected. Health economics evaluation was conducted based on the finds of cost analysis and model prediction. Results： It needed about 57 000--61 000 yuan to reduce a new infection and the cost reduced from 890 000 in 2011 to 460 000 in 2015. The benefit-cost ratio was 3.04-3.27, which had yearly increasing trend. The ratio increased from 2.09 in 2011 to 4.02 in 2015. It was totally produced about 679 million yuan which included 499 million yuan in public and 180 million yuan in personality. Conclusion： HIV prevention and control had high cost-effective and cost-benefit. It was recommended that the government should give a priorily during the allocation of health resources and develop a tong-term funding plan.