结核病与肺部健康杂志 ›› 2013, Vol. 2 ›› Issue (4): 278-282.doi: 10.3969/j.issn.2095-3755.2013.04.013

• 论著 • 上一篇    下一篇

实施《黑龙江省结核病防治规划2001—2010年》后的成本-效益分析

魏松庭,郑桂兰,闫兴录,李发滨,孙彦波   

  1. 150030 哈尔滨,黑龙江省结核病防治所
  • 收稿日期:2013-06-17 出版日期:2013-11-30 发布日期:2013-11-30
  • 通信作者: 郑桂兰,Email:huahua_0026@163.com

The cost benefit analysis of implementation of tuberculosis control program in Heilongjiang province(2001—2010)

WEI Song-ting,ZHENG Gui-lan, YAN Xing-lu, LI Fa-bin, SUN Yan-bo   

  1. Tuberculosis Prevention and Control Division in Heilongjiang Province Institute for Tuberculosis Control, Harbin 150030, China
  • Received:2013-06-17 Online:2013-11-30 Published:2013-11-30
  • Contact: ZHENG Gui-lan, Email:huahua_0026@163.com

摘要: 目的 了解《黑龙江省结核病防治规划2001—2010年》(简称“《规划》”)实施10年社会投入总成本与社会产出总的经济价值,进行成本-效益分析。方法 选取《全国结核病防治规划(2001—2010年)终期评估报告》中黑龙江省数据及《黑龙江省结核病防治规划(2001—2010年)终期评估报告》数据,对10年的数据汇总并利用Excel 2007进行分析。社会总成本由中央级经费、各级政府经费和国际项目经费等3部分构成;通过计算避免感染人数、避免新发患者数及减少死亡人数反映社会效果;社会经济效益由直接社会经济效益和间接社会经济效益构成;通过“成本/效益比=社会总成本/社会经济效益”的公式计算“成本-效益”。结果 2001年至2010年我省共投入结核病防治经费2.73亿元,发现活动性肺结核患者323 914例,成功治愈肺结核患者302 402例,减少死亡79 580例,避免新感染1 406 789人,避免产生新患者140 681例,为患者节省医疗费用达0.96亿元,挽回社会总价值约224.86亿元。每挽回一个伤残调整生命年(DALY)损失所需投入的经费为143.26元,每投入1元可产生98.8元的社会经济价值。结论 我省通过《规划》的实施,在控制结核病流行及促进经济发展中效果显著。

Abstract: Objective To understand the total social investment cost and the entire economic output after implementation of tuberculosis control program in Heilongjiang province(2001—2010) (referred to as “Program”), and analyze the cost-benefit. Methods The data selected from the final assessment report of the tuberculosis control program in Heilongjiang (2001—2010) and the Heilongjiang part of the final evaluation report of the national tuberculosis control program (2001—2010), The data were analyzed by Excel 2007. The social total investment cost was composed of central budget, various level governmental funding, and international program financing. The social effects were reflected by the population protected from infection, the number of new cases of tuberculosis, and reduction of tuberculosis fatality. The socioeconomic performance was attributed to both of the direct and the indirect social economic benefits. The “cost-benefit ratio” was calculated by the formula of “cost/benefit ratio=the total social investments cost/the entire economic output”. Results From 2001 to 2010, Heilongjiang province invested a total of 273 million RMB to control and prevent tuberculosis, detected 323 914 cases of patients with active tuberculosis, successfully treated 302 402 cases, reduced 79 580 cases of deaths, prevented 1 406 789 cases of new infections, avoided 140 681 new cases, saved medical expenses 96 million RMB, restored total 22.486 billion RMB of social value. It was estimated that investment of 143.26 could save a DALY. Every one RMB invested can generate social and economic value of 98.8 RMB. Conclusion The implementation of Program in Heilongjiang province achieved remar-kable effects on controlling the tuberculosis epidemic and promoting economic development.