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目的评价昭通市实施《结核病防治规划(2011—2015)》的卫生经济学效果,为制定下一阶段防治规划提供决策依据。方法收集规划期内结核病防治工作资料作数据汇总,进行成本与效果和效用及效益分析。结果规划期间社会投入共计约4 826 355元,通过成功治疗7 419例传染性患者,避免新增感染55 643例;避免新发患者5 564例,减少社会医疗费用389.48万元;挽回52 858个伤残调整生命年(DALY),挽回社会总价值4.17亿元;每避免1个健康人受传染仅需投入86.74元,每挽回1个DALY损失仅需投入91.31元,每投入1元防治经费可产生87.71元的社会经济效益。结论昭通市实施《规划》后,取得了显著的社会效益和经济效益。
Objective To evaluate the health economics effect of Zhaotong City’s implementation of TB Control Program (2011-2015) and provide the basis for decision-making in formulating the prevention and control plan for the next phase. Methods Collect data on tuberculosis prevention and control work during the planning period for cost and effectiveness and utility and benefit analysis. Results During the planning period, the total social investment was about 482635 yuan. A total of 7,459 cases of infectious diseases were successfully treated, 55,643 new infections were avoided, 5,564 new cases were avoided, social medical costs were reduced to 3,894,800 yuan, 52,858 cases were recovered Disability adjusted life years (DALY), the total value of society to save 417 million yuan; avoid a healthy person infected only need to invest 86.74 yuan, each saved a DALY loss only invested 91.31 yuan, each invested 1 yuan Produced 87.71 yuan of social and economic benefits. Conclusion Zhaotong City has achieved remarkable social and economic benefits after implementing “Planning.”