河南省两种麻疹免疫策略的成本-效果分析

吴红宇; 王克安; 张兴录; 金水高; 冯子健

Abstract

吴红宇,王克安,张兴录,金水高,冯子健.河南省两种麻疹免疫策略的成本-效果分析[J].Chinese journal of Epidemiology,2000,21(2):121-123

河南省两种麻疹免疫策略的成本-效果分析

Cost -effectiveness analysis on two dif ferent measles immunization strategies

Received:March 28, 1999

DOI：

KeyWord: 麻疹免疫策略成本-效果比

English Key Word: Measles immunization strategy Cost-effectiveness ratio (CER)

FundProject:

Author Name	Affiliation
WU Hongyu	Center of Immunization, Chinese Academy of Preventive Medicine, Beijing 100050, China
WANG Kean	Center of Immunization, Chinese Academy of Preventive Medicine, Beijing 100050, China
ZHANG Xinglu	Center of Immunization, Chinese Academy of Preventive Medicine, Beijing 100050, China
金水高	中国预防医学科学院统计室
冯子健	河南省卫生防疫站

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Abstract:

目的　以河南省人口、经济和麻疹流行病学资料为基础, 从经济学角度对强化免疫策略与两剂免疫策略进行比较和评价. 方法　采用卫生经济学中成本 -效果分析方法, 时间区间为1997～ 2 0 2 0年, 效果指标为失能调整寿命损失年 (disabilityadjustedlifeyears, DALY), 成本 -效果比(cost-effectivenessratio, CER) =强化免疫策略与两剂免疫策略的费用差 /强化免疫策略与两剂免疫策略的效果差. 结果　随年份的增长, CER呈下降趋势, 从2013年起强化免疫策略有正效益. 结论　强化免疫策略不仅在降低麻疹发病、阻断麻疹传播方面有很好的效果, 在经济上也是合算的

English Abstract:

Objective To seek the most economic and effective strategy in measles elimination in China, data of cost-effectiveness was analyzed to compare two different strategies of measles immunization (mass campaign and 2-dose schedule) based on the data of population, economy and epidemiological features of measles in Henan province. Methods DALY was used as the measurement of effectiveness. Taking period from 1997 to 2020, the cost-effectiveness ratio (CER) was defined as the cost difference between mass campaign and 2-dose schedule divided by the decline of DALYs if 2-dose schedule had been substituted by mass campaign. Results Along with the increment of time, CER showed a descending trend then the mass campaign will have positive benefits after year 2013. Conclusion　Mass campaign is more cost-effective than 2-dose schedule.

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