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.
引文
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