登革热暴发流行控制的费用效益分析

Analysis on The Cost-effect of Dengue Fever Outbreak Control

目的 通过对中山市 2 0 0 2年发生的登革热局部暴发流行控制情况进行费用效益分析 ,为政府部门把登革热预防控制列为政府行为 ,并制定科学的预防控制策略提供经济学依据。方法 用现场流行病学方法对该次流行的流行病学特点 ,采用的控制模式 ,病例诊疗费用、误工费用和疫情调查处理费用等进行调查 ,再用比较分析法进行费用效益分析。结果 (1 )探索出“卫生行政部门负责组织策划 ,疾病预防控制机构负责技术培训和技术控制 ,疫区政府负责综合控制措施的组织实施。实施全民参与 ,人人动手”的高效登革热预防控制模式。 (2 )该年度登革热暴发流行总诊疗费用为 86 770 9元 ,平均每例为 30 99 0元。 (3)病人及其陪护总误工费用为 1 5 0 5 0元 ,平均每例为 5 37 5元。 (4 )疫点调查处理共投入 2 1 2 1 97元 ,平均每例消耗疫情处理费 75 78 5元。(5 )登革热暴发流行预防控制费用效益比率为 1∶1 4 1。结论 经济学分析显示 ,该市探索出的登革热控制模式效益显著 。

Objective In order to analyze the cost-effect of Dengue fever outbreak control in Zhongshan City in 2002, and to provide the economic basis data for the government to make scientific strategies of Dengue feve prevention and control.Method Using field epidemiological methods to investigate the epidemic characteristics, the control mode, the diagnostic and therapy, the work delay and investigation itself, using comparable analysis methods to analyze the cost-effect. Results (1) The strategy of hygiene department should be responsible for the implement of integrated control measures. (2) The total cost of diagnostic and therapy of the Dengue fever outbreak was 86 770.9 RMB, the average was 3 099RMB per case. (3) The total of delay work was 15 050 RMB, the average was 537.5 RMB per case. (4) The total cost of investigation was 212 197 RMB, the average was 7 578.5 RMB. (5) The ratio of prevention and control cost of Dengue fever outbreak was 1∶14.1. Conclusion The economic analysis showed that the effect of Dengue fever control in Zhongshan city was remarkable and the control mode could be popularized.