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目的分析评价临湘市实施结核病控制项目的社会效益和经济效益,为卫生资源投入与使用提供科学依据。方法收集2002-2008年结核病控制项目季报、年报及人口学资料,进行成本-效果、成本-效用及成本-效益分析。结果 7年间政府及相关国际组织投入经费93.5万元,每发现并治疗一例患者费用为342.2元(93.5万/2732),病人投入费用为210.5万元,每例患者为1112.7元(304万/2732)。7年共治愈病人1546例,共挽回DALY16293年,按临湘市平均期望寿命74.5岁计算[5],共获得218(16293/74.5)个完整生命。减少新肺结核病人2319例,节省费用1484.2万元。按国内生产总值(GDP)计算,7年平均人均GDP9037.6元/年,挽回GDP损失约1.5亿。按临湘市农民人均纯收入4063元计算,避免了因病造成的个人收入损失达6619.8万元。结论 7年来临湘市结核病控制项目取得了明显的社会效益和经济效益,为保障人民群众身体健康做出了积极贡献。
Objective To analyze and evaluate the social and economic benefits of tuberculosis control projects in Linxiang City and provide a scientific basis for the input and use of health resources. Methods The quarterly reports, annual reports and demographic data of tuberculosis control projects from 2002 to 2008 were collected for cost-effectiveness, cost-utility and cost-benefit analysis. Results The government and related international organizations invested 935,000 yuan in 7 years, and the cost of finding and treating one patient was 342.2 yuan (935,000 yuan / 2732 yuan). The investment cost of the patients was 2,105,000 yuan, and the per patient was 1112.7 yuan (3,402,000 yuan / 2732 yuan) ). A total of 1546 patients were cured in 7 years, and a total of 218 (16293 / 74.5) complete lives were retrieved by DALY1 in 6293, according to the average life expectancy of 74.5 years in Linxiang City [5]. Reduce the number of new pulmonary tuberculosis patients 2319 cases, saving 14.882 million yuan. Calculated on the basis of gross domestic product (GDP), the average annual per capita GDP for 7 years is 9037.6 yuan / year, and the GDP lost is about 150 million yuan. By Linxiang average per capita net income of farmers 4063 yuan, to avoid the loss of personal income due to illness reached 66198000 yuan. Conclusion In the past seven years, the project of controlling tuberculosis in Linxiang has made obvious social and economic benefits, making a positive contribution to the protection of the people’s health.