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目的分析评价2006~2015年东平县结核病防治规划实施效果,为政策措施的制定提供科学依据。方法根据《全国结核病防治规划(2001~2010年)》终期评估实施方案和《全国结核病防治规划(2011~2015年)》终期评估方案,收集患者相关信息,选用伤残调整寿命年(DALY)指标进行量化,计算成本与效益比值。结果 2006~2015年,全县累计投入结核病防治专项经费247.06万元;接诊肺结核可疑症状者25 046例,年均就诊率为3.17‰;发现活动性肺结核患者5 157例,年均登记率为65.28/10万;新发和复治涂阳患者治愈率分别为94.61%和91.99%,总体治愈率为94.05%;减少死亡1 282例,避免感染20 387人,避免新发肺结核2 039例;政府每投入1元钱,可产生约229元的社会经济效益,而每挽回1个伤残调整寿命年损失,政府仅需要投入约88元。结论东平县结核病十年规划的实施效果显著,经济社会效益明显。
Objective To analyze and evaluate the implementation effect of TB prevention and control program in Dongping County from 2006 to 2015, and provide a scientific basis for the formulation of policies and measures. Methods According to the final evaluation plan of “National TB Control Plan (2001 ~ 2010)” and the final evaluation plan of “National TB Control Plan (2011 ~ 2015)”, relevant information of patients was collected and the disability adjustment life year (DALY ) Indicators to quantify, calculate the cost and benefit ratio. Results From 2006 to 2015, a total of 2.4760 million yuan was invested in prevention and treatment of tuberculosis in the county; 25 046 cases of suspicious symptoms of tuberculosis were admitted, with an average annual visiting rate of 3.17 ‰; 5 157 cases of active pulmonary tuberculosis were found, with an average annual enrollment rate of 65.28 / 100 000. The cure rates of newly diagnosed and retreated smear-positive patients were 94.61% and 91.99% respectively, the overall cure rate was 94.05%; 1,282 deaths were reduced, 20 387 were avoided and 2 039 were newly diagnosed cases of pulmonary tuberculosis; For every $ 1 invested by the government, it can generate about $ 229 in social and economic benefits. The government only needs to invest about $ 88 each for a year of disability-adjusted life-years lost. Conclusion The implementation of the Ten-Year Plan for Tuberculosis in Dongping County has achieved remarkable results with obvious economic and social benefits.