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目的探讨山东援助新疆某县结核病筛查的资金投入与产生的社会经济效益的关系,为制定下步山东援疆结核病筛查项目计划提供科学依据。方法采用目的抽样选择某县结核病疫情高的两个乡开展结核病高危人群筛查,运用成本-效果、成本-效用和成本-效益分析方法进行卫生经济学评价。结果两个乡共筛查4233例结核病高危人群,发现活动性肺结核病人563例,估算筛查发现一例肺结核病人的直接成本约为351.74元,避免新发肺结核病人123例,减少医疗费用约为10.39万元,挽回的社会总价值约为4017.63万元;每挽回一个伤残调整生命年损失,援助项目所投入的金额约为106.88元,结核病高危人群筛查项目的效益-成本比为109.78。结论山东援助新疆某县结核病高危人群筛查项目取得了较好的社会经济效益。
Objective To explore the relationship between the financial input and the social and economic benefits of Shandong aid tuberculosis screening in Xinjiang and provide a scientific basis for the next Shandong TB aid screening project. Methods The purpose of sampling was selected to select two counties with high TB prevalence in one county to carry out screening at high risk of tuberculosis. The cost-effectiveness, cost-utility and cost-benefit analysis were used to evaluate the health economics. Results A total of 4233 high risk TB patients in two townships were screened and 563 active tuberculosis patients were found. The estimated direct cost of one case of tuberculosis was estimated to be 351.74 yuan by screening test, 123 cases of newly diagnosed pulmonary tuberculosis were avoided, and the medical cost was reduced to 10.39 The total social value of 10,000 yuan to be recovered is about 40,176,300 yuan; for each redeemed one year of disability-adjusted life year loss, the amount invested by the aid project is about 106.88 yuan; and the benefit-cost ratio of the TB high risk population screening project is 109.78 yuan. Conclusion Shandong Province has assisted in screening a high risk population of tuberculosis in a county in Xinjiang and has achieved good social and economic benefits.