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目的估算西安市“十二五”(2011-2015年)结核病防治规划的成本-效果与成本-效益,评价规划实施效果。方法依据《全国结核病防治规划》终期评估实施方案,收集西安市14个县(区)2011-2015年结核病防治信息监测资料,利用Excel进行数据统计分析。结果 2011-2015年,西安市共确诊活动性肺结核患者19 486例,其中因肺结核死亡30例,完成疗程的涂阳患者6 091例,治愈的涂阴患者12 997例,估计避免新发病人7 291例;2011-2015年西安市结核病防治总投入2 232.79万元,共挽回39.06亿的社会价值;治愈1例患者可以产生28.25万元的社会价值,每挽回1个DALY需要投入170.07元,每投入1元可以的产生172.41元的社会价值。结论西安市“十二五”(2011-2015年)结核病防治规划成本-效果及成本-效益显著,结核病的防治为西安市经济的发展做出了重要贡献。
Objective To estimate the cost-effectiveness and cost-benefit of tuberculosis prevention and control plan in Xi’an during the “Twelfth Five-Year Plan” (2011-2015) and to evaluate the effectiveness of the plan. Methods According to the implementation plan of the final evaluation of “national tuberculosis prevention and control plan”, monitoring data of tuberculosis prevention and control information of 14 counties (districts) in Xi’an from 2011 to 2015 were collected, and the data were statistically analyzed by using Excel. Results From 2011 to 2015, a total of 19 486 cases of active pulmonary tuberculosis were diagnosed in Xi’an. Among them, 30 cases of pulmonary tuberculosis died and 6 091 cases of smear-positive patients and 12 997 cases of cured smear-negative patients were completed. It is estimated that new patients 7 291 cases; from 2011 to 2015, total investment in prevention and treatment of tuberculosis in Xi’an reached 22.2279 million yuan, a total of 3.906 billion yuan of social value was recovered; 1 case of patients cured can produce 282,500 yuan of social value, each saved a DALY need to invest 170.07 yuan per Into 1 yuan can produce 172.41 yuan of social value. Conclusion The cost-benefit and cost-effectiveness of tuberculosis prevention and control planning in Xi’an during the “Twelfth Five-Year Plan” (2011-2015) are significant. The prevention and treatment of tuberculosis has made an important contribution to the economic development of Xi’an.