结核病控制项目的成本-效果成本-效用成本-效益分析

目的 研究世界银行结核病控制项目、卫生部和非项目地区3种预防措施的成本效果、效用和效益。方法 在6省17个县结核病防治机构和1700名初复治病人进行病程、治疗费用及经济负担调查。结果 世界银行项目采用全程督导短程化疗策略。投资成本低，效果、效益及效用明显，结核病控制是低投入、高产出的项目。建议 为结核病防治工作可持续发展，应继续开展新一轮结核病控制项目，实现我国结核病防治工作目标。

Cost-effectiveness, cost-utility and cost-benefit analysis of various projects for TB control

Objective To study the cost effectiveness, cost utility and cost benefit of three programs for TB control, viz. the World Bank TB project, the Ministry of Public Health TB project and measures taken by non project areas. Method A survey was conducted in TB prevention and treatment institutions in 17 counties of 6 provinces with regard to the course of disease, expenditure for treatment and financial burden of 1 700 new and retreated TB patients. Result The World Bank project, wherein the strategies of directly observed treatment and short course chemotherapy were adopted, proved to be a low input and high output program with low capitalized cost and significant effectiveness, utility and benefit. Suggestion A new round of TB control projects ought to be started so as to achieve the sustainable development of TB prevention and treatment programs and to achieve the goals of the nation in this aspect.