绵阳市普查与高危人群筛查比较诊断肺结核的卫生经济学评价

发布时间：2018-05-26 02:41

本文选题：普查 + 高危人群筛查　；参考：《中国循证医学杂志》2016年03期

【摘要】：目的比较绵阳市普查与高危人群筛查诊断肺结核的卫生经济学效果,为选择制定适宜西部地区的肺结核发现方式提供依据。方法选择2013年6月~2014年3月期间,绵阳市涪城区、江油市共21个乡镇通过居民健康体检筛查出的活动性肺结核患者作为研究对象,参考《全国2001~2010年结核病防治规划评估方案》对相关数据资料进行分析。结果共普查184 047例居民,发现128例活动性肺结核患者;高危人群筛查61 045例居民,发现76例患者。普查的成本-效用比为6 174.17,效益-成本比为3.84;高危人群筛查的成本-效用比为3 106.16,效益-成本比为7.62。结论高危人群筛查诊断肺结核的成本-效用和效益-成本比优于普查,但仍漏诊了部分肺结核患者。对于西部经济相对落后的地区来说,更应该充分衡量肺结核发现率与经济效益之间的利弊,选择适宜的结核病筛查方式。
[Abstract]:Objective to compare the health economic effects of screening and diagnosis of tuberculosis by screening in Mianyang and high risk population, and to provide a basis for selecting the suitable methods for finding tuberculosis in the western region. Methods in June 2013 ~2014 March, 21 villages and towns in Fucheng District of Mianyang and Jiangyou city were screened for active tuberculosis patients through physical examination. A total of 184047 residents were found in 128 cases of active tuberculosis, and 61045 cases were screened for high risk population, and 76 patients were found. The cost utility ratio of the census was 6174.17 and the benefit cost ratio was 3.84; The cost utility ratio of screening at high risk population is 3106.16, the cost ratio of the benefit cost ratio is 7.62. to the high risk population and the cost utility and benefit cost ratio is better than the census, but some tuberculosis patients are still missed. For the relatively backward areas of the western economy, it should be better to measure the rate of tuberculosis discovery and the economic benefit. The advantages and disadvantages between the two methods are selected.
【作者单位】：四川大学华西医院呼吸与危重症医学科;
【基金】：四川省科技厅应用基础研究项目(编号:2013JY0149)
【分类号】：R521

【相似文献】