宁德市实施计划免疫成本——效益分析研究

The Cost Benefit Analysis on the Implementation of EPI in Ninde City,Fujian Province

[目的 ]分析评价宁德市实施计划免疫的成果。 [方法 ]采用决策树法比较不同方案的人群发病情况 ,用残疾标化寿命年 (DAL Y)作为疾病负担指标 ,并以货币形式分析计划免疫的成本效益。 [结果 ]宁德市实施计划免疫 18年 ,共减少相应 4种传染病 4 0 4 730例、死亡 316 6例、残疾 10 70例 ,减少因发病损失标准期望寿命 136 74 5 .6 DAL Y,年均避免直接经济损失 1191.2 9万元、间接经济损失 4 987.2万元 ,产生总效益 6 178.4 9万元 ,计划免疫成本与效益比值为1∶ 32 .1。 [结论 ]计划免疫是一项投资少、产出多、效益高的社会公益性事业。

To analyze and evaluate the achievement of the expanded program on immunization (EPI) in Ninde City, Fujian According to the method of decision make tree, to apply disability adjusted life year (DALY) as the indicator of diseases burden, and make the cost benefit analysis of EPI After the implementation of EPI for 18 years in Ninde, 404 730 cases of four kinds of EPI related infectious diseases were reduced, 3 166 cases of death, 1 070 cases of disability, 136 745 6 DALY of standard expected life, and avoided direct and indirect losses of 11 9129 and 49 872 million Yuan annually The overall economic benefit was 61 7849 million Yuan and the ratio of cost to benefit was 1∶32 1 [Conclusion] EPI was a social commonweal activity with low investment, high output and benefit