2005-2014年山东省实施国家免疫规划工作的卫生经济学评价
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摘要
目的科学评价2005-2014年山东省实施国家免疫规划工作的情况,促进资源的有效利用和免疫规划工作的可持续发展。方法采用普查的方式进行自我填报式问卷调查,统计免疫规划成本;将整个研究时期分为5个时期进行成本效果分析、成本效益分析和成本净效益分析。结果 2005-2014年这一时期与前面四期分别进行比较,成本效果比和成本效益比均为正值,每投入1万元,可以分别减少发病9.62、10.68、2.08和0.43例,减少死亡0.17、0.10、0.01和0.003例;每投入1元,可以分别产生总经济效益31.85、32.16、4.83和1.15元。结论 2005-2014年山东省实施国家免疫规划这一公共卫生项目效果明显、效益稳健、投资回报较高,实现了政府资源的有效配置。
Objective This work was to evaluate the situation of the Implementation of Expanded Program on Immunization in Shandong Province from 2005 to 2014 in order to improve effective utilization of the resource and sustainable development of Expanded Program on Immunization. Methods Self- administered questionnaire was used to the whole province for the analysis of the cost of Expanded Program on Immunization. The whole study period was divided into five stages to conduct cost- effectiveness analysis,cost- benefit analysis and cost- net benefit analysis. Results When the stage of 2005- 2014 was respectively compared with the other four stages,both cost- effectiveness ratio and cost- benefit ratio were positive numbers.Every ten thousand Yuan invested could respectively decrease 9. 62,10. 68,2. 08,0. 43 incident cases,and decrease 0. 17,0. 10,0. 01,0. 003 death cases. Every Yuan invested could respectively produce an economic benefit of 31. 85,32. 16,4. 83,1. 15 Yuan. Conclusion The public health project of the Implementation of Expanded Program on Immunization in Shandong Province from 2005 to 2014 gained significant effectiveness,steady benefit and a high economic return,and effectively allocated the governmental resources.
Objective This work was to evaluate the situation of the Implementation of Expanded Program on Immunization in Shandong Province from 2005 to 2014 in order to improve effective utilization of the resource and sustainable development of Expanded Program on Immunization. Methods Self- administered questionnaire was used to the whole province for the analysis of the cost of Expanded Program on Immunization. The whole study period was divided into five stages to conduct cost- effectiveness analysis,cost- benefit analysis and cost- net benefit analysis. Results When the stage of 2005- 2014 was respectively compared with the other four stages,both cost- effectiveness ratio and cost- benefit ratio were positive numbers.Every ten thousand Yuan invested could respectively decrease 9. 62,10. 68,2. 08,0. 43 incident cases,and decrease 0. 17,0. 10,0. 01,0. 003 death cases. Every Yuan invested could respectively produce an economic benefit of 31. 85,32. 16,4. 83,1. 15 Yuan. Conclusion The public health project of the Implementation of Expanded Program on Immunization in Shandong Province from 2005 to 2014 gained significant effectiveness,steady benefit and a high economic return,and effectively allocated the governmental resources.
引文
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[2]金雪晶,田磊,马爱霞.我国进一步扩大免疫规划的必要性分析[J].中国药物评价,2013,30(3):184-188.
[3]沈培,张吉凯.公共卫生项目成本-效益分析中的社会贴现率研究[J].中国卫生经济,2010,29(6):72-73.
[4]何海艳,赵莹,陈静,等.天津市1992-2010年新生儿乙型肝炎疫苗免疫策略成本效果分析[J].传染病信息,2014,27(2):89-92.
[5]何寒青,陈恩富,李倩,等.浙江省1978-2007年计划免疫卫生经济学评价[J].中国农村卫生事业管理,2010,30(10):835-837.
[6]李子林,马福宝,康国栋,等.江苏省2008年乙型脑炎经济负担调查及免疫规划成本效益分析[J].实用预防医学,2010,17(9):1756-1758.
[7]赵晓明,褚湘建.免疫规划对相关传染病发病率的影响及其效益体现[J].江苏预防医学,2010,21(1):34-35.
[8]符剑,何寒青,赵艳荣,等.浙江省不同时期麻疹减毒活疫苗应用效果的卫生经济学研究[J].中国疫苗和免疫,2011,17(4):333-335.