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目的研究武汉市结核病规划10年控制成效,分析控制成本效果/效益,为新阶段结核病防控策略提供政策保障及经费支持依据。方法采用回顾查阅规划报表、经费等资料,由终期评估培训人员进行汇总、统计分析。结果武汉市十年规划内活动性肺结核平均登记率为77.08/10万,初阳肺结核登记率为35.38/10万,涂阳治愈率93.85%,涂阴完成治疗率95.10%。10年规划期内通过肺结核患者的治疗和督导管理,减少肺结核患者死亡15 822人;减少新发肺结核患者27 491人,由此避免新发肺结核患者所支出的社会医疗费用达1 872.83万元;避免劳动力损失而挽回的社会经济价值达911 043.47万元。结论武汉市近10年结核病控制成果显著,资金投入少,成本效果、效益比较高。
Objective To study the effectiveness of TB control in Wuhan for 10 years and analyze the cost effectiveness and effectiveness of TB control in order to provide policy support and funding support for TB prevention and control strategies in the new stage. Methods By reviewing the planning reports, funding and other information, the final evaluation of trainers summary, statistical analysis. Results The average enrollment rate of active tuberculosis in Wuhan ten-year plan was 77.08 / 100000. The registration rate of first positive pulmonary tuberculosis was 35.38 / 100000. The cure rate of smear-positive was 93.85% and the cure rate of smear-negative was 95.10%. During the 10-year planning period, TB treatment and supervisory management of TB patients reduced 15 822 deaths from tuberculosis patients and 27 491 new TB cases, thus avoiding the expenditure on social health care of newly-diagnosed tuberculosis patients amounting to RMB 18.7283 million; The socioeconomic value of avoiding labor loss and recovery was 9,104,043,700 yuan. Conclusion The results of TB control in Wuhan in recent 10 years are remarkable, with less capital investment, cost effectiveness and high benefit.