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本文在研究国内外相关文献的基础上,从流行病学、病原学、卫生经济学和卫生服务研究等不同角度,对群众性免疫运动的作用和效果进行了综合评价。结果表明,群众性免疫运动在大多数情况下有助于提高免疫覆盖率。在接种率较低的地区,能显著地提高人群免疫水平;在免疫水平较高的地区,可进一步巩固人群免疫水平。群众性免疫运动的流行病学效果是明显的,它能显著地降低发病率,阻断病原传播。但由于缺乏系统的成本效益效果评价,目前很难明确其是否是最符合成本效益原则的免疫策略。作者认为群众性免疫运动在相当一段时期内仍是公共卫生干预的重要组成部分,全面了解群众性免疫运动的作用和效果,将有助于制订适宜的干预策略,提高决策水平。
On the basis of studying relevant literatures at home and abroad, this article makes a comprehensive evaluation of the effect and effect of mass immunization campaigns from different perspectives, such as epidemiology, etiology, health economics and health service research. The results show that mass immunization campaigns in most cases help to improve immunization coverage. In areas with a lower immunization rate, the level of population immunity can be significantly increased; in areas where the level of immunization is high, the level of population immunity can be further consolidated. The epidemiological effect of mass immunization campaigns is evident, and it can significantly reduce morbidity and prevent the spread of pathogens. However, due to the lack of a systematic and cost-effectiveness evaluation, it is currently not clear whether it is the most cost-effective immunization strategy. The author believes mass immunization campaigns are still an important part of public health intervention for a considerable period of time. A comprehensive understanding of the role and effect of mass immunization campaigns will help to formulate suitable intervention strategies and improve decision-making.