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1991～ 1996年天津市在社区开展以人群为目标的慢性病预防与控制综合干预项目。本研究以该项目为基础进行卫生经济学评价 ,研究结果表明 :1991～ 1996年贴现 ( 3% )的累积成本为 16 10 885 6元 ,干预实现三年后 ,效益 -成本比开始大于 1,干预时间越长 ,效果越好 ,干预措施对脑卒中的干预效果优于冠心病。 1991～ 1996年由于开展项目累积增加的 QAL Ys为 12 75 8,每 1QAL Y成本为 983元 ,效益 -成本比为 2 .48。以上结果表明天津慢性病综合干预项目所采取的策略和干预活动取得了良好的经济效果。
From 1991 to 1996, Tianjin launched a comprehensive intervention program for prevention and control of chronic diseases targeting the population in the community. Based on the project, this study conducted a health economics evaluation. The results showed that the cumulative cost of discounting (3%) from 1991 to 1996 was 16 10 8856 yuan. After the intervention was implemented for three years, the benefit-cost ratio began to be greater than 1, The longer the intervention time, the better the effect. Intervention intervention intervention for stroke is better than coronary heart disease. From 1991 to 1996, the cumulative increase in QAL Ys was 1,275, 8, and the cost per 1QAL Y was 983. The benefit-cost ratio was 2.48. The above results indicate that the strategies and interventions adopted in the Tianjin Comprehensive Intervention Project for Chronic Diseases have achieved good economic results.