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目的评估山东省免疫规划时期麻疹免疫预防工作的效果和效益。方法采用普查的方式进行自我填报式问卷调查获得免疫规划工作的总成本,利用专家咨询法确定非疫苗和注射器购置成本在不同针对传染病中的分配系数,用于测算控制麻疹的成本;将研究时期分为计划免疫前期、计划免疫时期和免疫规划时期进行成本效果分析、成本效益分析和成本净效益分析。结果山东省免疫规划时期防控麻疹成本为254 727.55万元,免疫规划时期与前两期分别进行比较,成本效果比和成本效益比均为正值,每投入1万元,可以分别减少发病43.19和1.2例,减少死亡0.46和0.003例;每投入1元,可以分别产生总经济效益44.39和1.17元,净效益43.39和0.17元。结论山东省免疫规划时期麻疹免疫预防工作可以获得较高的成本效果比和成本效益比,实现政府资源的有效配置。
Objective To evaluate the effect and benefit of measles immunization in Shandong Province during immunization program. Methods The self-reported questionnaire was used to obtain the total cost of immunization planning. The expert consultation method was used to determine the distribution coefficient of non-vaccines and syringes purchase costs in different infectious diseases for the purpose of measuring the cost of measles control. The period is divided into pre-planned immunization, immunization and immune planning period cost-effectiveness analysis, cost-benefit analysis and cost-benefit analysis. Results During the immunization program in Shandong Province, the cost of prevention and control of measles was 2,522,775,500 yuan. Compared with the previous two phases, the cost-effectiveness ratio and the cost-benefit ratio were all positive. Each investment of 10,000 yuan reduced the incidence of measles by 43.19 And 1.2 cases, reducing the death of 0.46 and 0.003 cases; each invested 1 yuan, can produce total economic benefits of 44.39 and 1.17 yuan, the net benefits of 43.39 and 0.17 yuan. Conclusion Shandong Province immunization schedule measles immunization work can get a higher cost-effectiveness ratio and cost-benefit ratio, to achieve the effective allocation of government resources.