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目的 应用卫生经济学的评价方法对胃癌序贯筛查法的经济性进行评价即 :比较参加胃癌筛查减少的一例死亡所多花费的费用与减少的一例死亡所创造的价值 ,确定胃癌序贯筛查法的经济效果。方法 以胃癌筛查现场1987年参加筛查人群 (筛查组 ) 12 176人 (死于胃癌 41例 )与作为对照的非筛查人群 (非筛查组 ) 15 0 0 9人 (死于胃癌 79例 )为基础的队列研究为分析模型 ,以筛查现场的收费为标准 ,进行费用—效果分析。结果 参加胃癌筛查减少一例死亡多花费 895 1元 ,减少的一例死亡所创造的价值为 112 5 3元。也即胃癌序贯筛查措施可以多创造 2 3 0 2元人民币。胃癌序贯筛查每减少 1/ 10万人年死亡率需花费 110 77元人民币。结论 费用—效果分析显示胃癌序贯筛查法是经济的可以创造更多的经济效益。
Objective To evaluate the economics of sequential screening for gastric cancer using the evaluation methods of health economics: Compare the cost of one case of death with reduced gastric cancer screening and the value created by one case of death, and determine the sequence of gastric cancer. The economic effect of the screening method. Methods A total of 12 176 people (diagnosed with gastric cancer in 41 cases) and non-screening subjects (non-screening group) with 176 cases of gastric cancer screening (screening group) in 1987 were screened. The 79-item cohort study was an analytical model. Cost-effectiveness analysis was performed using screening site charges as a standard. Results Participation in gastric cancer screening reduced one case of death to a much higher cost of 895 1 yuan, and the reduction of one case of death created a value of 112 5 3 yuan. That is, the sequential screening measures for gastric cancer can create RMB 2 032 more. Sequential screening for gastric cancer costs 110 to 77 yuan for every 1/100,000 person-year mortality reduction. Conclusion Cost-effectiveness analysis shows that sequential gastric cancer screening is economic and can create more economic benefits.