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目的分析天津市重点人群HIV抗体筛查的经济学效益。方法收集天津市2005-2009年艾滋病重点人群监测资源投入及HIV抗体筛查实施情况的资料,进行成本效果分析。结果天津市艾滋病监测阳性检出率呈逐年增长趋势,差异有统计学意义(χ2=61.45,P<0.001),总体阳性检出率为0.027%。在艾滋病重点人群中发现1例HIV感染者的成本约为2.27万元,发现HIV感染者成本最低的前3类人群为自愿咨询检测者、公安司法系统羁押人员、娱乐场所高危人群,发现成本逐年下降。结论天津市艾滋病重点人群监测的效率逐年提高,监测成本控制良好,对成本效果较好的人群应该加强监测经费的投入。
Objective To analyze the economic benefits of HIV antibody screening in key populations in Tianjin. Methods The data of monitoring resource investment and HIV antibody screening in major HIV / AIDS patients from 2005 to 2009 in Tianjin were collected and the cost-effectiveness analysis was carried out. Results The positive rate of HIV / AIDS surveillance in Tianjin showed a trend of increasing year by year with a statistically significant difference (χ2 = 61.45, P <0.001). The overall positive rate was 0.027%. One HIV-infected person in AIDS-focused population found that the cost of one case of HIV-infected persons was about RMB 22,700. The first three categories of HIV-infected persons who found the lowest cost were voluntary counseling and testing, public security and justice system detainees, and high-risk groups of entertainment places. decline. Conclusion The monitoring of HIV / AIDS patients in Tianjin is increasing year by year with good monitoring cost control. The monitoring cost should be increased for those with better cost effectiveness.