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目的评价新疆昌吉回族自治州城镇参保职工接种流感疫苗的成本效益,为扩大流感疫苗接种工作提供科学依据。方法本次调查以州辖区内城镇参保职工为调查对象,随机抽取1 493名流感疫苗接种者为接种组,选取与接种组性别、年龄、健康状况等相匹配的1 480名未接种疫苗的人为非接种组;对流感相关疾病的就诊率和住院率及医疗费用等进行问卷调查,并对调查结果进行成本-效益分析。结果接种组与非接种组相比,流感相关疾病的就诊率和住院率均明显下降,医疗费用也有不同程度的下降,其中55岁以上人群最为明显;接种流感疫苗控制各类流感相关疾病的效益-成本比(BCR)为6.15。结论新疆昌吉州参保职工接种流感疫苗具有较高的成本效益,产生良好成本效益的原因是明显降低了接种组55岁以上中老年参保职工的就诊率和住院率,从而节省了医疗费用。
Objective To evaluate the cost-effectiveness of influenza vaccination among urban workers in Changji Hui Autonomous Prefecture, Xinjiang, and provide a scientific basis for expanding influenza vaccination. Methods In this survey, we selected 1 493 influenza vaccinators as inoculation groups and selected 1 480 unvaccinated persons who matched the sex, age and health condition of the vaccinated groups. Artificial non-vaccinated group; questionnaire about the visiting rate of flu-related diseases and hospitalization rates and medical expenses, and the cost-benefit analysis of the survey results. Results Compared with the non-vaccinated group, the rate of flu-related illness and hospitalization rate in vaccinated group were significantly decreased, and the medical costs decreased in varying degrees, of which the most obvious was 55-year-old group. Influenza vaccination was effective in controlling various influenza-related diseases - The cost ratio (BCR) is 6.15. Conclusion The reason why the vaccinated workers in Changji Prefecture of Xinjiang Province are vaccinated is highly cost-effective. The reason for good cost-effectiveness is the significant reduction in medical attendance rate and hospitalization rate for those aged 55 and over in the vaccinated group, thus saving medical expenses.