郑建莉 1吴语媚 1张仕利 1杜恣闲 1李土荣 1陈石生 1林文革1
作者信息
- 1. 福建省龙岩市疾病预防控制中心结核病防治科,龙岩 364000
- 折叠
摘要
Abstract
Objective:To evaluate the cost-effectiveness of tuberculosis screening among high-risk populations in Longyan City,Fujian Province,and to explore the feasibility of implementing active tuberculosis screening within community settings.Methods:A retrospective investigation was conducted to collect screening data from high-risk populations for tuberculosis(HIV/AIDS patients,individuals aged 65 years and older,diabetic patients,and close contacts of patients with etiologically confirmed pulmonary tuberculosis,hereafter referred to as"close contacts")in Longyan City between 2019 and 2023.A cost-effectiveness analysis was subsequently performed.For HIV/AIDS patients,both chest radiographs and sputum smear examinations were conducted irrespective of the presence of suspicious symptoms of pulmonary tuberculosis.In contrast,for individuals aged 65 and older,diabetic patients,and close contacts,initial screening was performed to identify suspicious symptoms,followed by chest radiographs and sputum smear examinations for those with positive findings.Results:Between 2019 and 2023,active screening was conducted for 4412 HIV/AIDS patients,20 142 individuals aged 65 and older,6031 diabetic patients,and 3083 close contacts.The screening rates were 98.68％(4412/4471),1.23％(20 142/1 632 144),1.67％(6031/362 143),and 50.31％(3083/6128),respectively.A total of 21,139,67,and 30 tuberculosis cases were identified in these groups,respectively.The additional cost per tuberculosis case detected was 13 446 yuan,9274 yuan,5239 yuan,and 6577 yuan,respectively.Conclusion:Supported by adequate funding and policies,the simultaneous use of chest radiographs and symptom screening demonstrates high effectiveness in tuberculosis screening among key populations.关键词
结核/人群监测/主动筛查/成本及成本分析Key words
Tuberculosis/Population surveillance/Active case finding/Cost-effectiveness analysis分类
医药卫生
