武汉市2011—2015年结核病防治成效分析
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摘要
目的研究武汉市结核病防治"十二五"规划成效,分析规划成本效果/效益,为今后结核病防控策略提供政策支持及经费保障依据。方法依据《全国结核病防治规划》终期评估实施方案,由参加终期评估培训人员对规划报表、经费等资料进行汇总、统计分析。结果武汉市"十二五"规划期内活动性肺结核平均登记率为62.21/10万,初阳肺结核登记率为24.22/10万,涂阳治愈率91.73%,涂阴完成疗程率96.11%。"十二五"规划期内减少活动性肺结核患者死亡7 946人,减少新发的肺结核患者12 061人,由此避免其所支出社会医疗费用达1 019.18万元,避免劳动力损失而挽回的社会经济价值达1 164 438.71万元。结论武汉市"十二五"规划期间结核病控制成果显著,资金投入少,成本效果、效益高,结核病防治工作促进了武汉市的经济发展和社会和谐。
Objective To study the result and investment for the 12~(th) Five-year Plan of Wuhan TB prevention and control(2011—2015)and provide basis for policy support and financial safeguard of tuberculosis prevention and control in the future.Methods The reporting forms and funding data were collected and analyzed by health workers who were well trained by Final Assessment of the Implementation of the National TB Control Program.Results From 2011 to 2015,the average pulmonary tuberculosis registration rate was 62.21/100 000 and the initial smear-positive registration rate was 24.22/100,000.The cure rate was 91.73%,and the completed treatment rate of smear negative was 96.11%.It was estimated that 7 946 TB deaths were reduced.12 061 new TB cases were avoided.Social medical expenses of new TB cases up to 10.19 milliom yuan and social value of labor loss up to 11 644.39 milliom yuan was saved.Conclusion The tuberculosis control achievement for the 12~(th) Five-Year Plan of Wuhan TB prevention and control(2011—2015)was remarkable,with less capital investment,better cost-effectiveness and higher efficiency and promoted the economic development and social harmony in Wuhan.
Objective To study the result and investment for the 12~(th) Five-year Plan of Wuhan TB prevention and control(2011—2015)and provide basis for policy support and financial safeguard of tuberculosis prevention and control in the future.Methods The reporting forms and funding data were collected and analyzed by health workers who were well trained by Final Assessment of the Implementation of the National TB Control Program.Results From 2011 to 2015,the average pulmonary tuberculosis registration rate was 62.21/100 000 and the initial smear-positive registration rate was 24.22/100,000.The cure rate was 91.73%,and the completed treatment rate of smear negative was 96.11%.It was estimated that 7 946 TB deaths were reduced.12 061 new TB cases were avoided.Social medical expenses of new TB cases up to 10.19 milliom yuan and social value of labor loss up to 11 644.39 milliom yuan was saved.Conclusion The tuberculosis control achievement for the 12~(th) Five-Year Plan of Wuhan TB prevention and control(2011—2015)was remarkable,with less capital investment,better cost-effectiveness and higher efficiency and promoted the economic development and social harmony in Wuhan.
引文
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[9] 童叶青,侯双翼,郭慧,等.湖北省两示范区实施结核病防治重大专项的卫生经济学评价[J].现代预防医学,2015,42(20):3703-3705.
[10] 张正斌,王卫华,王婷萍,等.武汉市结核病控制成本效果/效益分析[J].公共卫生与预防医学,2013,24(5):61-63.
[11] 王艳飞,曾令城,柳巍,等.西安市结核病防治“十二五”规划成本-效果与效益评估[J].现代预防医学,2016,43(20):3742-3784.
[12] 李月华,郝艳艳,姚丽丹,等.2011-2015年新疆维吾尔自治区实施结核病防治规划的成本效益分析[J].中国防痨杂志,2017,39(2):174-178.
[13] 黄文辉,何旺瑞.江西省2011～2015年结核病防治成本效益分析[J].安徽预防医学杂志,2017,23(3):154-158.
[14] 卫生部疾病预防控制局,中国疾病预防控制中心.全国结核病防治规划(2001-2010年)终期评估报告[M].北京:军事医学科学出版社,2011:55.
[2] 彭颖,杨小兵,张志峰,等.2006—2014年武汉市肺结核流行特征分析及发病预测研究[J].中国社会医学杂志,2017,34(3):303-306.
[3] 谢惠安,阳国太,林善梓,等.现代结核病学[M].北京:人民卫生出版社,2000:710.
[4] 卫生部统计信息中心.2008年中国卫生服务调查研究:第四次家庭健康询问调查分析报告[M].北京:中国协和医科大学出版社,2009:52.
[5] 许群,乌正赉,金水高,等.初治涂阳肺结核病人及其传染性所致疾病负担的评价方法研究[J].卫生研究,2003,32(6):558-561.
[6] 马艳,李亮,成诗明,等.涂阴肺结核的流行现状与诊断进展[J].结核病健康教育,2008(2):12-18.
[7] 龚幼龙,万利亚,武桂英,等.结核病控制经济与管理学评价[M].上海:第二军医大学出版社,2003:125-128.
[8] 吴周志,刘军安,刘晓俊,等.我国结核病“三位一体”防治服务模式形成及实践探索[J].中国社会医学杂志,2015,32(6):419-421.
[9] 童叶青,侯双翼,郭慧,等.湖北省两示范区实施结核病防治重大专项的卫生经济学评价[J].现代预防医学,2015,42(20):3703-3705.
[10] 张正斌,王卫华,王婷萍,等.武汉市结核病控制成本效果/效益分析[J].公共卫生与预防医学,2013,24(5):61-63.
[11] 王艳飞,曾令城,柳巍,等.西安市结核病防治“十二五”规划成本-效果与效益评估[J].现代预防医学,2016,43(20):3742-3784.
[12] 李月华,郝艳艳,姚丽丹,等.2011-2015年新疆维吾尔自治区实施结核病防治规划的成本效益分析[J].中国防痨杂志,2017,39(2):174-178.
[13] 黄文辉,何旺瑞.江西省2011～2015年结核病防治成本效益分析[J].安徽预防医学杂志,2017,23(3):154-158.
[14] 卫生部疾病预防控制局,中国疾病预防控制中心.全国结核病防治规划(2001-2010年)终期评估报告[M].北京:军事医学科学出版社,2011:55.