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目的分析评价泰安市实施《结核病防治规划(2001~2010年)》的成本-效果与效益,为结核病防治工作的可持续发展提供参考。方法按照《全国结核病防治规划(2001~2010年)》终期评估实施方案与细则,根据伤残调整寿命年(DALY)指标及成本效益分析方法,对泰安市投入的结核病防治社会成本与取得的效益和效果进行分析评价。结果2001~2010年,泰安市共登记活动性肺结核患者23 335例,其中因结核病死亡149例,涂阳患者成功治疗15 486例,涂阴患者成功治疗6 408例,估算全市减少肺结核患者死亡5 689例,避免感染104 449例,避免发病10 445例。全市投入的结核病防治社会总成本1 516.79万元,估算全市可减少医疗费用支出约711.57万元,共挽回的社会总价值约19.21亿元。每挽回1个伤残调整生命年(DALY)损失,政府仅需要投入约122元;政府每投入1元的结核病防治经费,可产生约127元的社会经济效益。结论泰安市实施结核病防治十年规划社会经济效益显著。
Objective To analyze and evaluate the cost-effectiveness and benefit of implementing “TB Control Plan (2001 ~ 2010)” in Taian City and provide reference for the sustainable development of tuberculosis prevention and control work. Methods According to the final plan and detailed rules of “national tuberculosis prevention and control plan (2001-2010)”, according to the DALY index and the cost-benefit analysis method, the social costs of tuberculosis prevention and control Benefit and effect analysis and evaluation. Results From 2001 to 2010, a total of 23 335 patients with active pulmonary tuberculosis were registered in Taian City, of which 149 were died of tuberculosis, 15 486 were successfully treated with smear positive, and 6 408 were successfully treated with smear negative. The city was estimated to reduce the death of patients with pulmonary tuberculosis 5 689 cases, avoiding 104 449 cases and avoiding 10 445 cases. The total investment in prevention and treatment of TB in the whole city is estimated to be RMB15,679,900. It is estimated that the total medical expenditure in the whole city will be reduced to RMB7,115,700, and the total value of the total recovered society will be about RMB9,192 million. For every DALY lost, the government only needs to invest about 122 yuan. For every 1 yuan invested in tuberculosis prevention and control, the government can generate about 127 yuan of social and economic benefits. Conclusion The 10-year planning for prevention and treatment of tuberculosis in Taian City has significant social and economic benefits.