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目的评价莆田市加速麻疹控制目标的卫生经济学效益。方法对莆田市1951—2013年麻疹免疫资料按实施麻疹免疫策略分为计划免疫前期(1951—1981年)、计划免疫期(1982—1997年)、消除麻疹策略实施期(1998—2008年)和麻疹强化免疫期(2009—2013年),通过疫苗接种成本和麻疹经济损失,计算成本-效益,用EPiInfo软件和Excel软件分析。结果 4个时期中莆田市麻疹发病率显著下降,年均发病率为526.78/10万、17.36/10万、2.19/10万、0.07/10万。与计划免疫前期比较,计划免疫时期投入成本50.67万元,产生效益1 574.07万元,成本效益比131.1;消除策略实施期投入成本88.26万元,产生效益1 639.8万元,成本效益比118.6;麻疹强化免疫期投入成本176.52万元,产生效益1 735.71万元,成本效益比19.8。结论莆田市消除麻疹免疫策略取得了良好的经济效益。
Objective To evaluate the health economic benefit of Putian in accelerating the target of measles control. Methods The measles immunization data of 1951-2013 in Putian City were divided into preimmune immunization (1951-1981), planned immunization (1982-1997), measles immunization (1998-2008) and immunization Measles-based immunization phase (2009-2013), cost-benefit calculation by vaccination costs and measles economic loss, analyzed by EPiInfo software and Excel software. Results The incidence of measles in Putian City decreased significantly during the four periods with an annual average incidence of 526.78 / 100000, 17.36 / 100000, 2.19 / 100000, 0.07 / 100000. Compared with the pre-immunization phase, the cost of immunization during the planned immunization was 506,700 yuan, with the benefit of 15.7407 million yuan and the cost-benefit ratio of 131.1. The cost of eliminating the implementation of the strategy was 882,600 yuan, with the benefit of 16.398 million yuan and the cost-benefit ratio of 1 18.6; Measles intensive immunization costs 176.52 million yuan, resulting in benefits 17.557 million yuan, the cost-effectiveness ratio of 1 9.8. Conclusion The measles immunization strategy in Putian has achieved good economic benefits.