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目的: 探讨河南省结核病防治保险试点的社会效益和经济效益, 为进一步拓宽结防投入渠道, 推广结核病防治保险工作提供参考依据。方法: 试点采取以投保对象交纳为主的多种形式收集保险金, 为防治对象提供减免费防治服务; 从整个社会角度收集成本, 采用成本效果、成本效益分析进行评价。结果: 三年来试点共筹集保险金560555 元, 共避免了1146人患肺结核病, 避免一人患病成本为683 元, 避免一人死亡成本为2336 元; 获得效益现值为5154631 元, 净效益现值为4372093 元, 成本效益比为1/6.59 元。结论: 试点取得了显著的社会效益和经济效益; 结核病防治保险是解决结防投入不足的有效途径
Objective: To explore the social and economic benefits of pilot tuberculosis prevention and treatment in Henan Province, and to provide reference for further broadening the investment channels for preventing and controlling tuberculosis and promoting tuberculosis prevention and control work. Methods: The pilot collected the insurance premiums in various forms, mainly based on the object of insurance coverage, and provided relief and relief services for prevention and control objects. The cost was collected from the perspective of society as a whole, and the cost-effectiveness and cost-benefit analysis were used to evaluate the benefits. Results: In the past three years, the pilot raised a total of 560555 yuan of insurance money, totally avoiding 1146 cases of tuberculosis, avoiding one sick person cost of 683 yuan, avoiding one death cost of 2336 yuan, obtaining the present value of benefit of 5154631 yuan, and the present value of net benefit For 4372093 yuan, cost-effective ratio of 1 / 6.59 yuan. Conclusion: The pilot has made significant social and economic benefits; tuberculosis prevention and control insurance is an effective way to solve the problem of inadequate investment