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目的分析评价三门峡市实施结核病控制项目的社会效益与经济效益,为财政、卫生部门的卫生资源投入与使用提供科学依据。方法对2004-2005年全市结核病控制项目季报、年报及有关调查资料,做成本-效果分析、成本-效用分析、成本-效益分析。结果两年来利用项目经费160万元,治愈初、复治涂阳肺结核病人1392例,预计减少的GDP损失和预计减少的收入损失分别为18211.34万元、11184.41万元,减少造成新的传染性病人2088例。结论两年来三门峡市利用中央和地方专项经费防治结核病成效显著,是一项投入少、经济效益和社会效益巨大的疾病控制项目,完全符合疾病控制与卫生经济学成本的原则。
Objective To analyze and evaluate the social and economic benefits of tuberculosis control projects in Sanmenxia City and to provide a scientific basis for the input and use of health resources in the financial and health sectors. Methods Make a cost-effectiveness analysis, a cost-utility analysis and a cost-benefit analysis on the quarterly reports, annual reports and relevant survey data of TB control projects in the city from 2004 to 2005. Results In the past two years, the project funds of 1.6 million yuan were used to cure 1392 cases of smear-positive pulmonary tuberculosis patients in the early and second trimester. The estimated GDP loss and estimated loss of loss were 182,113,400 yuan and 111,844,100 yuan respectively, reducing the number of newly infected patients 2088 cases. Conclusion Sanmenxia City has made remarkable achievements in prevention and control of tuberculosis using the special funds of the central and local governments in the past two years. It is a disease control project with little investment, huge economic benefits and great social benefits, and fully complies with the principle of cost of disease control and health economics.