湖北省两示范区实施结核病防治重大专项的卫生经济学评价

摘要:目的　从经济学角度评价湖北省两示范区实施结核病防治重大专项的实施效果，为结核病防治模式的可持续发展提供科学依据。方法　收集2010-2011年示范区结核病防治的各种季报和社会经济发展年报，采用卫生经济学理论与方法对进行成本-效果、成本-效用、成本-效益分析。结果　2年间整个项目实施投入966.69万元，共治愈初治涂阳患者678例、复治涂阳患者101例，减少新发患者1169例；挽回DALY损失20529.97年，共获得261个健康生命；产生经济效益24621.36万元，成本效益比为1VS 25.47。结论　湖北省两示范区实施结核病防治重大专项取得显著的社会效益与经济效益，为结核病预防与控制工作的可持续发展做出了积极贡献。

Health economic evaluation of the major special projects on implementation of tuberculosis prevention and treatment in two demonstration areas in Hubei Province

Abstract: Objective The study aimed to evaluate the implementation effectiveness of major special projects on tuberculosis prevention and treatment in two demonstration areas in Hubei Province from an economic perspective, and thus to a provide scientific reference for the sustainable development of tuberculosis prevention and treatment models. Methods Various quarterly reports on tuberculosis prevention and treatment and annual reports on social and economic development in the demonstration areas published between 2010 and 2011 were collected. Cost-effectiveness, cost-utility, and cost-benefit analyses were carried out by using health economics theories and methods. Results The investment for the implementation of the entire project was ￥9.6669 million RMB during the 2-year period. A total of 678 patients tested positive in an initial smear and 101 patients with relapsed positive smear were treated and cured, and thus avoided 1169 new cases of tuberculosis. An annual DALY loss of 20529.97 years was recovered, obtaining 261 healthy lives. A total of ￥246.2136 million RMB of economic benefits was produced, reaching a cost-effectiveness ratio of 1VS 25.47. Conclusion The major special projects on tuberculosis prevention and treatment in the two demonstration areas in Hubei Province have achieved a remarkable social and economic benefit, thus having contributed significantly to the sustainable development of tuberculosis prevention and control.