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目的评价肺结核病控制的成本效益,为继续执行现代结核病控制策略提供科学依据。方法对2001—2009年新罗区肺结核病病人发现、治疗和管理及经费使用情况进行分析。结果 9年共治疗初治涂阳肺结核病人1 335例,治愈1 197例,治愈率为89.7%;治疗复治涂阳病人284例,治愈231例,治愈率为81.3%。利用各种经费合计150.61万元,得到的效益为39 949.65万元,其中直接经济效益1 395.92万元,间接经济效益36 452.86万元,避免发生新涂阳病例节省开支2 100.87万元,成本-效益比为l∶265。结论新罗区实施的现代结核病控制策略成效显著。
Objective To evaluate the cost-effectiveness of tuberculosis control and provide a scientific basis for continuing the implementation of modern TB control strategies. Methods The detection, treatment and management of tuberculosis patients in Xinluo District in 2001-2009 were analyzed. Results A total of 1 335 primary smear-positive pulmonary tuberculosis patients were treated in 9 years, and 1 197 cases were cured. The cure rate was 89.7%. There were 284 cases cured and smeared with smear positive smear, and 231 cases were cured. The cure rate was 81.3%. Use a variety of funds totaling 1.556 million yuan, the benefits obtained 399.4965 million yuan, of which direct economic benefits 13.5952 million yuan, indirect economic benefits of 364.5286 million yuan to avoid the occurrence of new smear cases save costs 21,800.7 thousand yuan, the cost - Benefit ratio of l: 265. Conclusion Modern TB control strategies implemented in Xinluo District have achieved remarkable results.