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[目的]对杭州市拱墅区实施现代结核病控制策略(DOTS)11年的成本效益进行分析。[方法]根据《全国结核病防治规划(2001—2010年)》终期评估实施方案,对拱墅区2002—2012年结核病防治工作中投入的经费、患者的发现和治疗情况,以及产生的社会和经济效益进行分析。[结果]通过实施DOTS策略,拱墅区11年间共发现活动性肺结核患者3 467例,避免感染人数10 963人,避免新发患者1 096人,减少社会医疗费用74.665 2万元,挽回的社会总价值89 605.696 9万元。投入的社会总成本789.070 0万元,效益成本比113.65。[结论]2002—2012年拱墅区的结核病防治工作取得了较好的社会和经济效益。
[Objective] To analyze the cost-effectiveness of implementing modern TB control strategy (DOTS) for 11 years in Gongshu District in Hangzhou. [Methods] According to the implementation plan of the final evaluation of “National TB Control Plan (2001-2010)”, the funds invested in prevention and treatment of tuberculosis in Gongshu District from 2002 to 2012, the patients’ discoveries and treatments, and the social and Economic analysis. [Results] By implementing the DOTS strategy, a total of 3 467 active tuberculosis patients were found in Gongshu District in 11 years, avoiding 10 963 people, avoiding 1 096 new patients and reducing social medical expenses by 74.665 2 million The total value of 89,605.696 90,000 yuan. The total social input costs 789.070 million yuan, the cost-benefit ratio of 113.65. [Conclusion] The tuberculosis prevention and control work in Gongshu District from 2002 to 2012 has achieved good social and economic benefits.