2009~2011年海南省农村妇女乳腺癌检查项目实施效果评价

发布时间：2018-11-27 13:06

【摘要】：目的:在社会调查和数据收集的基础上,对海南省农村妇女乳腺癌检查项目实施3年的效果进行评价,为项目可持续开展提供科学依据。方法:分析乳腺癌检查数据库、督导、培训记录和财务等资料,估算项目实施总成本,计算项目疾病检出情况和质量调整寿命年(QALY),对项目成本效用比做出评估。结果:共检出良性肿瘤患者108例,检出乳腺癌9例,乳腺癌检出率22.54/10万;挽救17.1个寿命年,总体成本效用为14万元/寿命年。结论:项目完成情况较好,但效用有待提高;项目提高了基层妇幼人员技术和农村妇女防癌知识水平;项目管理存在一定缺陷,影响项目质量。
[Abstract]:Objective: on the basis of social investigation and data collection, the effect of breast cancer screening project for rural women in Hainan province for 3 years was evaluated, and the scientific basis was provided for the sustainable development of the project. Methods: the data of breast cancer examination database, supervision, training record and finance were analyzed, the total cost of project implementation was estimated, the condition of disease detection of the project and the quality adjusted life year (QALY),) were calculated to evaluate the cost utility ratio of the project. Results: a total of 108 cases of benign tumor were detected, 9 cases of breast cancer were detected, the detection rate of breast cancer was 22.54% / 100 000, the total cost effectiveness of saving 17.1 life years was 140000 yuan / life year. Conclusion: the completion of the project is good, but the utility needs to be improved, the project has improved the basic level of maternal and child workers' technology and the knowledge level of rural women's cancer prevention, and the project management has some defects, which affects the quality of the project.
【作者单位】：广州医科大学卫生管理学院;海南省卫生厅;海南省妇幼保健院;
【基金】：2012年度海南省医改优秀课题“2009~2011年海南省农村妇女两癌检查项目实施效果评价研究”(琼医改办[2012]89号)成果广州市医学伦理学重点研究基地成果(穗社规办[2012]13号)
【分类号】：R737.9

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