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按照全国结核病防治规划(2001-2011年)终期评估实施方案与细则,分析峨山县“十二五”规划期间结核病防治经费的投入和产出情况,计算成本-效益比,为卫生资源的有效配置及合理使用提供科学依据.期间,各级对峨山县投入结核病防治经费共66.55万元,全县发现活动性肺结核患者248例,成功治疗涂阳和涂阴患者共240例,减少因结核病死亡61例,避免新感染989名,避免新发患者99名,节约医疗费用67 372.89元,挽回1558.6个伤残调整生命年(DALY),挽回的社会总价值达4066.34万元.每挽回一个DALY损失,政府仅需投入426.99元;政府每投入1元结核病防治经费,可以产生61.20元的社会经济效益.结果表明,峨山县“十二五”规划期间结核病防治工作有效控制了传染源、减少了发病和死亡人数,挽回了大量社会劳动力,取得显著的经济效益和社会效益.“,”To evaluate the cost-benefit and input on tuberculosis (TB) program in Eshan county during the 12th Five Year Plan,according to the final evaluation embodiment of The National TB Control Program (2001-2010),so as to provide scientific evidences for the fair use of health resources.During the period,RMB 665 500 yuan had been invested during the 12th Five-Year Plan.A total of 248 active pulmonary TB cases were reported,240 cases were successfully treated,death due to TB were reduced in 61 cases,989 cases avoided infection,and 99 cases avoided new occurrence,medical expenses were reduced by RMB 67 372.89 yuan,DALY were reduced by 1558.6,and thus social total value of RMB 40 663 400 yuan were saved.It was estimated that the investment of RMB 426.99 yuan can save a DALY,and it can achieve RMB 61.20 yuan output in finance if the cost of RMB 1 yuan was invested.Results show that the work of TB prevention and control during the 12th Five-Year Plan in Eshan county,infection sources have been controlled,morbidity and mortality are reduced,and the labor is effectively protected.The work has made a significant social and economic achievement.