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〔目的〕寻求符合社会现有的可利用资源和适合现实社会经济状况的最佳信息 ;探索出低投入、高收益效果的肠道寄生虫防治对策。〔方法〕在豫南黄淮平原地区遂平县 ,选择三个行政村各以 80 0人口范围为现场观察点 ,分别采用周期性全民化疗 ,虫卵阳性者选择化疗 ,健康教育加卫生目标责任制奖罚的防治对策 ,分别监测逐年感染率并核出各年度投入的人力、物力价值 ,采用费用—效果分析法 (CEA)评估卫生经济学价值。〔结果〕不同防治对策的效果及卫生经济学价值具有显著性差异。〔结论〕在当前现有条件下 ,充分发挥和利用农村乡村医生医疗保健网作用 ,实施健康教育下的卫生目标责任制奖罚措施 ,是防治肠道寄生虫的低价值投入 ,高价值收益的最佳对策。
[Objective] To seek for the best information that is in line with the available resources in the society and suitable for the actual socio-economic conditions and to explore the strategies for controlling intestinal parasites with low input and high yield. [Methods] In Suiping County, Huanghuai Plain, southern Henan, three administrative villages were selected as the observation points on the spot with a population of 80 0 respectively. Periodic universal chemotherapy and egg-positive patients were selected for chemotherapy and health education. System of prevention and treatment of reward and punishment, monitoring the yearly infection rate and checking out the manpower and material resources invested in each year, and using cost-effectiveness analysis (CEA) to evaluate the value of health economics. [Results] The effectiveness of different control strategies and health economics have significant differences. 〔Conclusions〕 Under the present conditions, giving full play to and utilizing the role of rural village doctors ’health care network and implementing the reward and punishment system of health target responsibility system under health education are the measures to prevent and control the intestinal parasites’ low-value inputs and high-value benefits Best strategy