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目的了解2006—2008年徐州市结核病控制项目实施情况并对其效果进行社会经济学指标评价。方法对结核病控制项目进行现况调查,运用社会经济学分析方法对3年期间结核病防治工作有关指标进行分析。结果 3年共少发生结核病患者15 320例(其中传染性结核病患者7 660例);3年发现初治涂阳患者、复治涂阳患者分别为8 589例、2 354例;3年平均转诊到位率为62.81%,平均追踪率为99.11%,平均追踪到位率为93.11%;避免了1 751.12万元治疗费用,减少误工损失2 872.99万元,挽回GDP损失29 749.44万元;成本-效果比为23.1元/挽救1个DALY,成本-效益比为1∶47.9。结论实施结核病控制项目提高了患者发现率和患者管理质量、加快了徐州市的结核病控制进程、节约了大量的卫生资源,符合卫生经济学成本-效果和成本-效益原则的结核病控制策略。
Objective To understand the implementation status of tuberculosis control project in Xuzhou City from 2006 to 2008 and evaluate its effect on socio-economic indicators. Methods The status quo of TB control project was investigated, and the socio-economic analysis method was used to analyze the relevant indicators of tuberculosis control during the three-year period. Results A total of 15 320 cases of tuberculosis (including 7 660 cases of infectious tuberculosis) occurred in 3 years. In the 3 years, 8 589 cases and 2 354 cases of smear-positive smears were found, The consultation rate was 62.81%, with an average follow-up rate of 99.11% and an average follow-up rate of 93.11%. The treatment cost of 17.112 million yuan was avoided, the loss of working-time loss was 28.7299 million yuan and the loss of GDP was 297.4444 million yuan. The cost-effect A ratio of 23.1 yuan / saving 1 DALY, the cost-benefit ratio of 1:47.9. Conclusion The implementation of TB control project has improved the detection rate of patients and patient management, accelerated the control of tuberculosis in Xuzhou, saved a large amount of health resources, and was in line with the cost-effectiveness and cost-benefit principle of health economics.