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目的分析凉山州昭觉、西昌、德昌、盐源4地区实施主动检测咨询服务(Provider Initiate Testing and Counseling,PITC)的成本效果,并进行地区间比较,为在艾滋病不同流行地区合理分配检测咨询资源提供建议。方法采用成本-效果法对2008-2015年4地区PITC总成本投入、检测人数、发现比例和例均成本进行分析比较。结果 2008-2015年昭觉、西昌、德昌、盐源PITC资金总投入分别为4 180 870、6 141 660、3 373 095、4 173 905元,分别覆盖170 260、318 696、180 570、235 598人次,确诊2 452(1.44%)、1 141(0.36%)、407(0.23%)、101人(0.04%),发现并确诊艾滋病感染者/患者例均成本分别为1 705.09、5 382.70、8 287.70、41 325.79元。结论医疗机构主动提供艾滋病检测咨询服务日益健全;根据疫情分类开展PITC使其更具有成本效果价值。
Objective To analyze the cost-effectiveness of implementing Provider Initiate Testing and Counseling (PITC) in Zhaojue, Xichang, Johnsonville and Yanyuan 4 areas of Liangshan Prefecture and compare them with each other in order to rationally allocate testing counseling in different endemic areas of AIDS Resources provide advice. Methods The cost-effectiveness method was used to analyze and compare the total cost of PITC, the number of patients, the percentage of cases found and the average cost per case in 4 districts from 2008 to 2015. Results From 2008 to 2015, the total investment of PITC in Zhaojue, Xichang, Dechang and Yanyuan was 4 180 870,6 141 660,3 373 095,4 173 905 respectively, covering 170 260,318 696,180 570,235 598, diagnosed 2 452 (1.44%), 1 141 (0.36%), 407 (0.23%) and 101 (0.04%). The average cost of finding and diagnosing HIV / AIDS patients was 1 705.09, 5 382.70, 8 287.70,41 325.79 yuan. Conclusion Medical institutions actively provide AIDS testing counseling services are increasingly sound; PITC according to the epidemic classification to make it more cost-effective value.