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以广西隆安县1987至1995年间乙肝疫苗免疫的系列资料为基础,采用成本效益分析方法对乙肝血源疫苗低剂量免疫策略的成本效益进行分析评价。结果表明:隆安县1987年实施低剂量免疫策略能获得944万元的净效益,BCR为6372;灵敏度分析其BCR值始终大于1,乙肝疫苗免疫预防经济效益十分稳定。但如果无限制提高筛检费用,将失去这种效益,建议卫生行政部门加强管理。
Based on a series of data on hepatitis B vaccine immunization in Longan County, Guangxi Province from 1987 to 1995, the cost-benefit analysis method was used to analyze the cost-effectiveness of low-dose hepatitis B vaccine. The results showed that the low-dose immunization strategy in Longan County in 1987 achieved a net benefit of 9.44 million yuan, with a BCR of 6372. The BCR value of sensitivity analysis was always greater than 1, and the economic benefits of hepatitis B vaccine immunization were very stable. However, if there is no limit to raising screening costs, such benefits will be lost and the health administrative departments should be encouraged to step up their management.