济南市新生儿乙型肝炎疫苗免疫预防的成本-效益分析

刘振强; 赵世立; 张延学; 马呜岗; 汪宏

Abstract

刘振强,赵世立,张延学,马呜岗,汪宏.济南市新生儿乙型肝炎疫苗免疫预防的成本-效益分析[J].Chinese journal of Epidemiology,1995,16(2):81-84

济南市新生儿乙型肝炎疫苗免疫预防的成本-效益分析

Cost-benefit Analysis on Immunization of Newborns with Hepatitis B Vaccine in Jinan City

Received:November 09, 1993 Revised:June 27, 1994

DOI：

KeyWord: 乙型肝炎病毒乙型肝炎病毒疫苗新生儿免疫成本-效益分析

English Key Word: HBV Hepatitis B vaccince Immunization of newborns Cost-benefit analysis

FundProject:

Author Name	Affiliation
Liu Zhen-qiang	Shandong Provincial Hygiene and Epidemic Prevention Station, Jinan 250014
Zhao Shi-li	Shandong Provincial Hygiene and Epidemic Prevention Station, Jinan 250014
Zhang Yan-xue	Shandong Provincial Hygiene and Epidemic Prevention Station, Jinan 250014
马呜岗	北京医科大学
汪宏	北京医科大学

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Abstract:

运用决策树模型及成本-效益分析方法,对济南市新生儿乙型肝炎疫苗免疫预防的接种策略及经济效益进行了决策分析,结果显示,不同剂量的三种接种策略均可获得正效益,其效益-成本比值为42.41~48.01,从卫生经济学角度看,三种接种策略均是可行的。经决策分析认为,在疫苗紧张的情况下,应将重点放在母婴阻断上,若疫苗供应允许,则应对全体新生儿进行免疫。另外,敏感性分析结果显示,济南市实施新生儿乙型肝炎疫苗免疫预防其经济效益是非常显著的,也是极其稳定的。

English Abstract:

The decision tree model cost-benefit analysis method was used to analyse the strategies and economic benefits of immunization of newborns with hepatitis B vaccines in Jinan City. The results showed that all the three vaccination strategies could all produce positive benefits. Their BCR were 12.41 to 48.01. Through the decision analysis, it concluded that stress should be laid on the blocking of mother-to-infant transmission, and that if there are sufficient HB vaccines, all newborns should be vaccinated. In addition, the results of sensitivity analysis indicate that the benefits of HB vaccination are outstanding and quite stable.

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