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目的:对我国农村地区开展醋酸和复方碘液染色肉眼观察(VIA/VILI)子宫颈癌筛查进行经济可行性分析。方法:通过建立Markov模型,预测不同筛查方案实施20年后的人均次筛查诊断成本,结合相关调查数据,进行费用分担机制和经济可行性分析。结果:各种筛查方案的人均次筛查诊断成本在12.83~14.08元之间,占农村居民年人均纯收入、人均消费性支出和新农合人均筹资水平的比例很小。结论:我国农村地区采用VIA/VILI技术开展子宫颈癌筛查具有经济可行性,可以考虑政府和个人共同承担子宫颈癌筛查费用或将筛查项目纳入到新农合保障系统中。
Objective: To carry out the economic feasibility analysis of cervical cancer screening of acetic acid and compound iodine solution in rural areas of our country (VIA / VILI). Methods: Markov model was established to predict per capita screening and diagnosis costs after 20 years of implementation of different screening programs. Based on the relevant survey data, cost-sharing mechanism and economic feasibility were analyzed. Results: The per capita screening and diagnosis costs of various screening programs ranged from 12.83 yuan to 14.08 yuan, accounting for a small proportion of annual per capita net income, per capita consumer spending and per capita funding of NCMS. Conclusion: It is economically feasible to apply VIA / VILI technology to carry out cervical cancer screening in rural areas of our country. We can consider that the government and individuals should share the cost of cervical cancer screening or include screening items in the new rural social security system.