南昌市艾滋病自愿咨询检测的单位成本及成本-效果分析

目的 对2016—2018年南昌市艾滋病自愿咨询检测（VCT）的开展情况进行单位成本及成本-效果分析，为合理分配艾滋病防控资源提供依据。方法 采用文献检索、专家咨询制定南昌市VCT卫生经济学评价调查表，采用现场面对面结构式问卷调查及访谈的方法收集VCT工作环节、相应成本、VCT人数及检测结果，对各项成本进行分类计算，并进行成本-效果分析方法。结果 研究主要测算了宣教干预、检测费用及固定资产的成本费用及总费用，结果发现四个机构三年内的宣教与干预、检测费用及固定资产的成本费用保持相对稳定。在控制影响因素后选择青云谱区疾控中心和新建区疾控中心的VCT进行成本效果分析，青云谱区疾控中心和新建区疾控中心3年内检出阳性的平均单位成本分别为10 993.52元、13 020.88元，3年内每避免一例感染的资金成本分别为32 980.57元、39 062.63元。结论 南昌市四个机构VCT活动开展均已具有良好的运转规模，在此基础上加大宣教与干预的成本投入、合理进行资金分配、控制资产浪费等可更好的开展VCT工作。

The cost and the cost-effectiveness analysis of HIV /AIDS counseling and testing services in Nanchang city

Objective To analyze the unit cost and cost-effectiveness of the implementation of voluntary HIV counseling and testing (VCT) in Nanchang from 2016 to 2018, to provide a basis for rational allocation of AIDS prevention and control resources. Methods The Nanchang VCT Health Economics Evaluation Questionnaire was developed after literature search and expert consultation. The process of VCT work, corresponding cost, VCT number and test results were collected by on-site structured questionnaire survey and interview. The cost was classified and calculated, and the cost-effectiveness analysis method was carried out. Results The study mainly measured the cost, and total cost of education intervention, testing costs, and fixed assets. The cost and total cost of education intervention, testing costs, and fixed assets of the four institutions remained relatively stable in three years. After controlling the influencing factors, the VCT of Qingyunpu District CDC and Xinjian District CDC were selected for cost-effectiveness analysis. The average unit cost of positive detection in Qingyunpu District CDC and Xinjian District CDC in 3 years was 10 993.52 yuan and 13 020.88 yuan, respectively. The capital cost of each case of infection avoided in 3 years was 32 980.57 yuan and 39 062.63 yuan, respectively. Conclusion The VCT activities of the four institutions in Nanchang City have a good operation scale. On this basis, increasing the cost input of education and intervention, reasonable allocation of funds, and control of asset waste can better facilitate the VCT.