关键词: 结核, 综合预防, 卫生经费支出, 费用效益分析, 小地区分析

Abstract:

This study retrospectively analyzed the cost-benefit of the tuberculosis (TB) prevention and control plan in Taian city during the “11th Five-year” and the “12th Five-year” period by referring the methods on calculation of social cost, social effect, social benefit and cost-effectiveness ratio, which were used in the “Evaluation Protocol of National TB Control Program (2001-2010)”. The aim of this study was to provide reference for the implementation of the 13th Five-year plan for TB control and prevention in Taian City. This study shows that, during the “11th Five-year” period, the total funds used for TB prevention and treatment was RMB 10.7779 million yuan in Taian City, a total of 14936 patients with active pulmonary tuberculosis were notified for receiving free treatment, and 64426 persons were avoided from TB infections, 6443 persons were prevented to develop active TB. It was estimated that RMB 4.3893 million yuan medical expenses and around RMB 1.5 billion yuan overall social economic value were saved; it meant that RMB 1 yuan investment from the government can generate RMB 142.89 yuan social economic benefits. During the “12th Five-year” period, the total funds used for TB prevention and treatment was RMB 13.507 million yuan in Taian City, a total of 12146 patients with active pulmonary TB were notified for receiving free treatment, and 42623 persons were avoided from TB infections, 4263 persons were prevented to develop active TB. It was estimated that RMB 3.6 million yuan medical expenses and around RMB 2.3 billion yuan overall social economic value were saved; it meant that RMB 1 yuan investment from the government can generate RMB 169.65 yuan social economic benefits. This research suggests the cost-effectiveness of the TB prevention and control programme was obvious in Taian city by implementations of the 11th Five-year and the 12th Five-year TB prevention and control program, and the social economic benefits in implementation of the 12th Five-year plan period were higher than that in the implementation of the 11th Five-year plan period.

Key words: Tuberculosis, Universal precautions, Health expenditures, Cost-benefit analysis, Small-area analysis