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目的 :对河南省疟疾防治工作进行费用—完成分析 ,从经济学的角度评价低度流行区疟疾防治工作各项措施的质量和有效性。协助有关部门更科学地制定今后的疟疾防治方案。方法 :于 1994～ 1995年内通过填表和委托乡村医生对来诊的疑似疟疾病人访问填表的形式 ,在疟疾流行的固始、商城两县收集政府和社区用于疟防开支的原始资料 ,回顾性调查每位疑似疟疾病人的治疗费用。对所收集资料进行费用—完成分析。结果 :调查 6个乡镇 ,收集两年内疑似疟疾病人 12 32 5例。每例病人的费用平均为 2 7 85元 ,相当于当地一个农民 10天的收入 ;而政府用于每例病人的费用平均为 4 86元。河南省每年用于疟疾防治的经费总投入约为 6 94434元。在 12 ,32 5例疑似疟疾病人中仅有 2 7% (336 /12 ,32 5 )得到很好的管理 ,34 9% (42 96 /12 ,32 5 )只能得到一般的医疗管理 ,而近三分之二 (6 2 4% )的病人 (76 93/12 ,32 5 )得不到管理。结论 :疟疾防治的费用主要由疑似病人及其家庭支出 ,如果政府经费投入削减 ,将进一步增加病人的负担 ,使其延误治疗 ,导致疟疾再度流行并危及最终控制疟疾目标的实现
OBJECTIVE: To carry out the cost control of malaria prevention and treatment work in Henan Province - to complete the analysis and to evaluate the quality and effectiveness of the various measures for malaria control in the endemic areas with low economics from the perspective of economics. Assist the relevant departments to make more scientific future malaria control programs. Methods: From 1994 to 1995, by filling the form and entrusting the rural doctors to fill in forms of visiting questionnaires for suspected malaria patients, the government and community materials for malaria prevention and control were collected in two counties of Gushi and Shangcheng, which are endemic to malaria. Retrospective survey of treatment costs for each suspected malaria patient. Expenses collected - Complete analysis. Results: Six townships were investigated and 12 32 5 suspected malaria cases were collected within two years. The average cost for each patient is $ 2 785, which is equivalent to 10 days’ income of a local peasant. The average cost of government for each patient is $ 4,86. The total investment for Henan’s annual malaria prevention and treatment project is about 694,434 yuan. Of the 12,335 suspected cases of malaria, only 27% (336/12, 32 5) were well managed and 34.9% (42 96/12, 32 5) received only general medical management, Nearly two thirds (62.4%) of patients (76 93/12, 32 5) were not managed. CONCLUSIONS: The cost of malaria control is largely borne by suspected patients and their families, and if government funding is reduced, the burden on patients will be further increased, causing them to delay treatment, leading to the re-epidemic of malaria and endangering the eventual goal of malaria control