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目的了解《自贡市自流井区结核病防治规划(2011-2015年)》实施情况并进行经济学评估,总结“十二五”规划实施经验,分析存在的困难和问题,为制定自流井区“十三五”结核病防治规划提供科学依据。方法按照《四川省结核病防治规划(2011-2015年)终期评估方案》进行资料收集,成本效果/效益成本比的估算按《结核病控制经济与管理学评价》方法进行。结果《规划》期内投入各级防治经费152.43万元,5年内减少了249例肺结核患者死亡,避免了410例新发肺结核患者;减少这些新发患者因治疗疾病所带来的医疗费用279 312.5元;挽回社会经济效益316 208 614.80元,每挽救一个质量调整生命年的花费为234.28元,每一元的防治经费带来的价值为207.63元。结论《规划》期间,自流井区取得了良好的社会效益和经济效益。但在政策保障、经费投入等方面需进一步加强。
Objective To understand the implementation status of TB prevention and treatment plan in Ziliujing District (Zhaoguan City) from 2011 to 2015 and conduct economic evaluation, summarize the implementation experience of “Twelfth Five-Year Plan”, analyze the existing problems and problems, Thirteen Five “tuberculosis prevention and control program to provide a scientific basis. Methods The data collection was conducted according to the ”Final Evaluation Plan for Tuberculosis Prevention and Control Project in Sichuan Province (2011-2015)“, and the cost-benefit / benefit-cost ratio was estimated according to the ”Evaluation of Tuberculosis Control Economics and Management“ method. Results During the ”Plan“ period, RMB 1.5244 million yuan was spent on prevention and treatment at all levels, reducing the deaths of 249 tuberculosis patients within 5 years and avoiding 410 cases of newly-diagnosed tuberculosis patients; and reducing the medical expenses incurred by these new-onset patients for treatment of diseases 279 312.5 Yuan; restore social and economic benefits of 316 208 614.80 yuan, save a quality to adjust the life of each year to spend 234.28 yuan, each yuan of prevention and control funds to bring the value of 207.63 yuan. Conclusion During the ”planning" period, Zirujing District has achieved good social and economic benefits. However, it needs to be further strengthened in terms of policy support and funding.