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裴速建, 叶建君, 程峰, 徐博钊, 江明, 刘水清, 陆业新, 张绍清, R.H.Webber. 低疟区疟疾病例侦查的成本效果分析[J]. 中国公共卫生, 1998, 14(3): 150-151.
引用本文: 裴速建, 叶建君, 程峰, 徐博钊, 江明, 刘水清, 陆业新, 张绍清, R.H.Webber. 低疟区疟疾病例侦查的成本效果分析[J]. 中国公共卫生, 1998, 14(3): 150-151.
Pei Sujian, . Cost-effectiveness of Malaria Case-detection in Low level Malaria[J]. Chinese Journal of Public Health, 1998, 14(3): 150-151.
Citation: Pei Sujian, . Cost-effectiveness of Malaria Case-detection in Low level Malaria[J]. Chinese Journal of Public Health, 1998, 14(3): 150-151.

低疟区疟疾病例侦查的成本效果分析

Cost-effectiveness of Malaria Case-detection in Low level Malaria

  • 摘要: 1995~1996年在湖北省的江陵、仙桃2县市进行低疟区简化病例侦查方法的研究.结果显示:每个发热病人的血检费用为1.78元,以二热病人为血检对象的简化病例侦查方案,原虫检出率为9.45%,一次血检检出的阳性人数占总阳性人数的95.38%,检出每个阳性病例的费用为18.86元,而以四热病人为血检对象则费用要增加180倍,且两种病例侦查方案在降低疟疾发病方面无显著性的差异,同样可以取得较好的防治效果.从流行病学和卫生经济学综合评价,在以中华按蚊为唯一媒介的低疟区,以二热病人为血检对象的病例侦查方案,大幅度减少了血检数量,提高了措施的针对性,可以巩固疟疾防治成果,节省大量的人力、物力和财力,是经济有效,切实可行的优选方案.

     

    Abstract: During 1995~1996,study on simplified schemes of malaria case-detection was conducted in Xiantao,Jiangling of Hubei province.The result shows:The blood examination fee of perfever was RMB 1.78 yuan.The parasite rate was 9.45%,positive detected rate was 95.38%,its examination fee of per case reached RMB 18.86 yuan if scheme group 2 was implemented.Blood examination fee increased 180 times compare scheme group 4 and scheme group 2.No statistical difference of two scheme was existed in lowing malaria incidence,as well as good control effect.Comprehensive assess with epidemiology and cost-effectiveness instructs that the scheme group 2 in low malaria area where An sinensis was considered as only vector is effective,reasonable and economical measure because of is rapid decreasing blood examination amount,increasing aim and save money,man-power.

     

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