中国防痨杂志2024，Vol.46Issue(3)：333-339,7.DOI:10.19982/j.issn.1000-6621.20230397
2011-2020年四川省实施结核病防治规划的卫生经济学评价
Evaluation of health economics of implementation of tuberculosis prevention and control program in Sichuan Province from 2011 to 2020
李婷 1李京 1张书 1高文凤 1夏岚 1刘双 1王丹霞 1逯嘉 1程钎钎 1陈闯 1何金戈 1张灵麟 2夏勇1
作者信息
- 1. 四川省疾病预防控制中心结核病预防控制所,成都 610041
- 2. 四川省疾病预防控制中心办公室,成都 610041
- 折叠
摘要
Abstract
Objective:To evaluate the social benefits generated by the funding for tuberculosis prevention and control from 2011 to 2020 in Sichuan Province,and to provide evidence for the development of medium-and long-term development plans for the new era.Methods:Retrospective study method was used to collect the treatment outcomes of smear positive pulmonary tuberculosis patients and the proportion of working population among pulmonary tuberculosis patients from 2011 to 2020(during the 12th Five-Year and the 13th Five-Year plan of National Tuberculosis and Control Program(NTP))in Sichuan Province from the Tuberculosis Management Information System and the Monitoring of Infections Diseases System,and to collect funding data and gross domestic product(GDP)from the Sichuan Statistical Yearbook and the self-assessment questionnaire of the final evaluation of NTP implementation.The social effect,social utility and social benefit of tuberculosis prevention and control funds investment in the past 10 years were estimated using three analysis methods commonly used in health economics:cost-effectiveness,cost-utibility and cost-benefit.At the same time,the estimated results of the 12th Five-Year Plan and the 13th Five-Year Plan were compared and analyzed.Results:From 2011 to 2020,760.326 million yuan were invested for tuberculosis prevention and control in Sichuan Province,and 160 167 smear positive pulmonary tuberculosis patients were successfully treated,which prevented 696 899 healthy individuals from tuberculosis infection and 1 155 277 disability adjusted life years(DALY)were saved.It saved 605 million yuan of medical expenses and 37.032 billion yuan of social and economic losses.1091.01 yuan were needed to avoid a healthy person to be infected,and 658.13 yuan needed to save 1 DALY.Additional investment of 1 yuan can produce 49.50 yuan of economic benefits.The total social benefits(20.922 billion yuan)brought by the 13th Five-Year Plan increased by 25.18％((209.22-167.14)/167.14)compared with the 12th Five-Year Plan(16.714 billion yuan),but the social benefits(47.56 yuan)brought by the government investment of one yuan for tuberculosis prevention and control decreased by 4.61 yuan compared with that of 52.17 yuan during the 12th Five-Year Plan period.Conclusion:From 2011 to 2020,the investment of governments at all levels and international projects invested in tuberculosis prevention and control in Sichuan has produced good social effects,effectiveness and benefits.It is recommended that,while maintaining the current level of funding,governments at all levels continue to increase their investment,especially in areas of case detection and treatment management of pathogen positive patients in order to achieve higher social benefits.关键词
结核,肺/国家卫生规划/费用效益分析/评价研究/对比研究Key words
Tuberculosis,pulmonary/National health programme/Cost-benefit analysis/Evaluation studies/Comparative study分类
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李婷,李京,张书,高文凤,夏岚,刘双,王丹霞,逯嘉,程钎钎,陈闯,何金戈,张灵麟,夏勇..2011-2020年四川省实施结核病防治规划的卫生经济学评价[J].中国防痨杂志,2024,46(3):333-339,7.
