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目的分析2001 2015年克拉玛依市开展结核病防治措施的成本效益。方法收集2001 2015年克拉玛依市、区两级结核病防治监测季报表、年报表及规划评估自评表,按照《全国结核病防治规划终期评估方案》,对克拉玛依市结核病防治成本效用及效益成本进行分析。结果 2001 2015年全市各级政府和国际组织投入结核病防治经费591.54万元,发现活动性肺结核患者2 340例,涂阳患者治愈1 127例,涂阴患者成功治疗1 088例,成功治疗活动性肺结核患者2 215例,累计避免因结核病死亡587例,避免感染健康人群9 852名,避免新发肺结核患者986例,节约医疗费用75.11万元,挽回的社会经济损失达142 776.58万元,成本效用比为414.84,效益成本比为241.49。即每挽回1个伤残调整生命年(DALY)损失所需要投入的金额为414.84元,每投入1元结核病防治经费可产生241.49元的社会经济效益。结论 2001 2015年克拉玛依市通过实施新疆维吾尔自治区《结核病防治规划(2001 2010)年》及《结核病防治规划(2011 2015年)》各项措施,实现了高发现率、高治愈率,取得显著的社会效益和经济效益。
Objective To analyze the cost-effectiveness of TB prevention and control measures in Karamay in 2001. Methods The quarterly and annual reports of TB surveillance and monitoring in Karamay City and districts in 2015 and the self-assessment of planning assessment were collected. The cost effectiveness and benefit cost of prevention and treatment of tuberculosis in Karamay City were analyzed in accordance with the “Final Assessment Program of National Tuberculosis Control Program” . Results In 2001, 5,195,400 yuan of tuberculosis prevention and control funds were invested by all levels of government and international organizations in the city. There were 2 340 cases of active pulmonary tuberculosis, 1 127 cases of smear positive patients, 1 088 cases of smear positive patients, and successful treatment of active tuberculosis A total of 2 215 cases of patients, a total of 587 cases to avoid death due to tuberculosis, to avoid infection of 9 852 healthy people, to prevent new tuberculosis patients 986 cases, save medical expenses 751100 yuan, save the social and economic losses of 14277600 yuan, cost-effective ratio Is 414.84, the benefit cost ratio is 241.49. That is to say, the amount of investment required for the loss of one disability-adjusted life year (DALY) is 414.84 yuan and the social and economic benefits of 241.49 yuan for every 1 yuan for prevention and treatment of tuberculosis. Conclusion In 2015, Karamay City achieved a high detection rate and a high cure rate through the implementation of the TB Prevention and Control Program (2001 2010) and the TB Prevention and Control Plan (2011 2015) in Xinjiang Uyghur Autonomous Region, achieving remarkable social Benefits and economic benefits.