结核病与肺部健康杂志 ›› 2013, Vol. 2 ›› Issue (3): 153-158.doi: 10.3969/j.issn.2095-3755.2013.03.004

• 论著 • 上一篇    下一篇

肺结核患者诊疗经费需求的测算

李峻,刘小秋,赵津,张慧,姜世闻,王黎霞   

  1. 102206,北京,中国疾病预防控制中心结核病预防控制中心
  • 收稿日期:2013-08-12 出版日期:2013-09-30 发布日期:2013-09-30
  • 通信作者: 王黎霞,Email:wanglx@chinatb.org

The estimation of required funds for diagnosis and treatment of pulmonary tuberculosis patients

LI Jun, LIU Xiao-qiu, ZHAO Jin, ZHANG Hui, JIANG Shi-wen, WANG Li-xia   

  1. National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
  • Received:2013-08-12 Online:2013-09-30 Published:2013-09-30
  • Contact: WANG Li-xia,Email:wanglx@chinatb.org

摘要: 目的了解肺结核诊疗经费需求,为测算经费需求、完善筹资机制提供依据。方法以1个地(市)为假设单位,分别测算普通和耐多药结核病平均每年总体诊疗经费需求、人均和例均需求,推算2013—2015年全国经费需求。根据第六次全国人口普查、2013年中央转移支付结核病防治项目方案,2011—2015年全国耐多药肺结核治疗管理扩展计划,确定全国344个地(市)级防治规划单位数及平均1个地市的假设基本参数:人口389.5万,下辖8个县(区)和127个乡镇。根据2001—2010年全国结核病防治规划终期评估和2007—2008全国结核病耐药性基线调查结果,按比例估算1个地市平均每年检查和发现患者数。结果平均1个地市每年肺结核患者诊疗经费需求为1763万元,人均4.53元。其中,普通肺结核经费需求为1300万元(74%),人均3.34元;耐多药肺结核经费需求为463万元(26%),人均1.19元。平均1例普通肺结核患者接受诊断筛查、治疗和关怀服务例均需求为4151元;1例耐多药肺结核患者例均需求为42129元。按照全国结核病防治“十二五”规划和耐多药肺结核治疗管理初步扩展计划,2013—2015年全国肺结核诊疗经费需求分别为50.2亿元、51.2亿元和52.7亿元。结论测算方法及结果为筹集肺结核诊疗经费提供依据,并为各地科学测算结核病诊疗经费需求、完善筹资机制提供参考。

Abstract: Objective To estimate the required funds for diagnosis and treatment of pulmonary tuberculosis (PTB) patients and to provide reference for implementing National Tuberculosis Control Program(NTP) and improving financing mechanism.Methods Based on the estimation unit of one prefecture, the annual diagnosis and treatment fund demand per capita and per case of common TB patient and MDR-TB patient were calculated respectively, the fund demand nationwide from 2011—2015 were estimated. In accordance with the sixth national census, central government transfer payment program for TB control and the extension plan of programmatic management of MDR-TB from 2011—2015, 334 prefectures nationwide implementing TB control program and basic parameters for one prefecture (3.895 million population, 8 counties and 127 towns/communities) were determined. In terms of the final evaluation report of NTP (2001—2010) and the baseline survey result of drug resistance from 2007—2008 nationwide, the number of patients diagnosed and reported annually in one prefecture was estimated.Results 17630000 yuan was required for patient diagnosis and treatment in one prefecture on average in one year, with 4.53 yuan per capita, in which common TB patients required 13000000 yuan (74%), with 3.34 yuan per capita, while MDR-TB required 4630000 yuan (26%), with 1.19 yuan per capita. On average, the required fund of one common TB patient for diagnosis, treatment and patient care was 4151 yuan, while one MDR-TB patient required 42129 yuan. In accordance with the NTP (2011—2015) and MDR-TB management tentative expansion plan, a total of 5.02 billion yuan, 5.12 billion yuan and 5.27 billion yuan were required during 2013 to 2015 nationwide respectively.Conclusion The method and result of estimation will act as a scientific base for estimating financing of TB diagnosis and treatment, and also provide reference for estimating local required funds and improving financing mechanism.