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目的:对2011年深圳市同性恋梅毒干预项目进行卫生经济学评价。方法:建立决策树模型并对项目进行成本效果分析和灵敏度分析。模型参数值来源于项目门诊记录、成本调查和文献回顾等。结果:2011年,首次就诊的男男性行为者为730人,梅毒检测阳性率为14.2%。项目每多发现并治疗1例梅毒病例、每避免1例梅毒传播、每避免1例三期梅毒和每挽救1个DALY所增加的成本分别为3 431元、503元、11 469元和850元。结论:该项目具有良好的成本效果,建议政府加大投入以扩大规模或在条件相似地区推广。
Objective: To evaluate the health economics of Shenzhen homosexual syphilis intervention project in 2011. Methods: Establish decision tree model and carry out cost-effectiveness analysis and sensitivity analysis of the project. Model parameter values from the project outpatient records, cost surveys and literature review. Results: In 2011, there were 730 first-time MSM, and the positive rate of syphilis was 14.2%. One additional case of syphilis was found and treated in the project. For each case of avoiding syphilis transmission, the cost per avoidance of one case of tertiary syphilis and one DALY saved was $ 3,431, $ 503, $ 11,469 and $ 850 respectively . Conclusion: The project is cost-effective and recommends that the government increase its investment to expand or expand in similar areas.