摘要
目的分析番禺区结核病的疾病负担及省项目的控制效果,同时比较流动人口和常住人口结核病的个人负担。方法采用抽样电话调查结合病历回顾的方法估计个人成本,运用伤残调整寿命年(DALY)指标及成本效果分析等经济学方法来评价项目实施效果。结果平均治愈1例传染性肺结核病人需社会成本7115元,其中机构成本3996元,个人成本为3119元;常住人口的个人成本为2438元,流动人口的个人成本为3906元;结核病导致的健康寿命损失为0.2288人年/1000人,男性为0.3004人年/1000人,女性为0.1605人年/1000人。20～45岁的劳力人群的DALY占了整个DALY的76%;每治愈1例常住人口肺结核病人的社会成本为6434元,流动人口为7902元,常住人口每发现1例肺结核病人的机构成本为513.1元,流动人口为1760.0元。项目投入产出比为1:39.6。结论流动人口结核病的个人支出较常住人口高;因结核病造成的寿命损失男性高于女性,20～45岁劳力人群受疾病影响的主要人群;流动人口结核病的发现成本、治愈成本均比常住人口高。该项目的成本效益收益明显。
OBJECTIVE To analyze the economic burden of patients with TB and to evaluate the effect of the GuangDong Province TB control project in PanYu region.And to study the comparison of the individual burden between the floating population and the general population.METHODS To estimate the individual cost with retrospective analysis according telephone interview and medical records.The disability adjusted life years(DALY) and Cost-effectiveness analysis was used to evaluate the effect.RESULTS The average social cost used for treating epidemic TB patient per capital was 7115 yuan,in which the budget of TB control project costed 3996 yuan,the individual burden costed 3119 yuan.The individual burden in the general population was 2438 yuan.The individual burden in the floating population was 3906 yuan.The years lived with disability(YLD) of the male TB patient was 0.3004 years per thousand people, 0.1605 years was lost in female TB patient.The DALYs in the groups aged 20—45 accounts for 76%.The average social cost used for treating TB patient in the general population per capital was 6434 yuan,and the cost was 7902 yuan for a case in the floating population.The average institution cost used for making a definite diagnosis in the general population per capital was 513.1 yuan,and the cost was 1760.0 yuan for a case in the floating population.The capital-output ratio of the GuangDong Province TB control project was 1:39.6.CONCLUSION The individual burden in the general population is more than that of the floating population.The DALY in the male is higher than that of the female.The cost used for diagnosing and treating TB patient in the floating population is more expensive than that of the general population.An obvious effect cost-effectiveness of the GuangDong Province TB Control Project has been achieved.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2009年第S1期26-30,共5页
Chinese Journal of Practical Internal Medicine
关键词
结核病
成本
tuberculosis(TB)
disease burden
