2001-2015年新疆克拉玛依市肺结核病防治成本效益分析

目的 分析2001-2015年克拉玛依市开展结核病防治措施的成本效益。方法 收集2001-2015年克拉玛依市、区两级结核病防治监测季报表、年报表及规划评估自评表，按照《全国结核病防治规划终期评估方案》，对克拉玛依市结核病防治成本效用及效益成本进行分析。结果 2001-2015年全市各级政府和国际组织投入结核病防治经费591.54万元，发现活动性肺结核患者2 340例，涂阳患者治愈1 127例，涂阴患者成功治疗1 088例，成功治疗活动性肺结核患者2 215例，累计避免因结核病死亡587例，避免感染健康人群9 852名，避免新发肺结核患者986例，节约医疗费用75.11万元，挽回的社会经济损失达142 776.58万元，成本效用比为414.84，效益成本比为241.49。即每挽回1个伤残调整生命年（DALY）损失所需要投入的金额为414.84元，每投入1元结核病防治经费可产生241.49元的社会经济效益。结论 2001-2015年克拉玛依市通过实施新疆维吾尔自治区《结核病防治规划（2001-2010）年》及《结核病防治规划（2011-2015年）》各项措施，实现了高发现率、高治愈率，取得显著的社会效益和经济效益。

Cost-benefit analysis on tuberculosis prevention and control in Karamay,Xinjiang,2001-2015

Objective To understand the cost-benefit of tuberculosis (TB) prevention and control in Karamay,Xinjiang autonomous region,from 2001 to 2015.Methods The quarter and annual reports of TB surveillance from prefecture to district levels during this period were collected,and analyzed according to The Final Evaluation Protocol for National Tuberculosis Control Program in China.Results The government and international organization invested 5.915 4 million yuan (RMB) for TB prevention and control in Karamay from 2001 to 2015.A total of 2 340 active pulmonary TB cases were detected,and 1 127 smear positive patients,1 088 smear negative patients and 2 215 active TB patients were cured.A total of 587 deaths due to TB,9 852 infections of Mycobacterium tuberculosis and 986 TB cases were prevented.The medical cost was reduced by 751 100 yuan (RMB),and 1.4 277 658 billion yuan (RMB) economic and social losses were avoided.The cost-utility ratio was 414.84.The benefit-cost ratio was 241.49.Conclusion Taking comprehensive TB prevention and control measures has achieved high case finding rate and cure rate of TB in Karamay,resulting remarkable social and economic benefits.