摘要
目的初步建立Mtb与HIV双重感染防治成本分析方法并进行成本分析,增强成本管理意识。方法选择Mtb与HIV双重感染疫情适中、具备了一定工作基础的云南省曲靖市某区,借鉴和摸索Mtb与HIV双重感染防治成本分析方法,使用工作人员操作时间分配系数等方法,对该区疾病预防控制中心(CDC)、全球基金项目(GF)、国家免费诊疗政策和患者自付等支出进行归集和分摊,测算出Mtb与HIV双重感染防治总成本、成本的构成、单位成本等。所有数据均输入Excel 2007进行分析处理。结果借鉴以往经验,对于多来源资源采用不同的测算方法,并总结出CDC投入成本的计算方法和步骤,同时基本掌握了当地投入的四大类别和水平。结论逐步完善疾控系统防治工作的成本测算方法和体系、掌握成本信息,为各级政府经费配置提供了科学有效的依据,有助于提高成本管理水平。
Objective To explore the more rational and scientific cost estimation methods for developing the cost estimation methods system of Mtb/HIV co-infection prevention and control at the district level CDC and im- prove the cost management consciousness. Methods To select one district of Yunnan province which has general Mtb/HIV epidemic and once the groundwork of Mtb/HIV co-infection paitients integrated management has been laid, to established the method of the cost estimation of Mtb/HIV co-infection prevention and control. Meanwhile based on the existing work flow and content referred the operating time distribution coefficient, implemented the cost absorption and cost allocation for the departments of CDC, project cost allocation, the state free treatment and testing measures, and the other measures paid by the patients＇ own expense. The total costs, cost structure, unit costs are estimated for Mtb/HIV co-infection response in district level CDC. All data were entered Excel 2007 for analysis and processing. Results To draw on the successful experience and implement use different methods to cost estimate for multiple sources. Finnally developed cost estimation methods in the Mtb/HIV prevention and control, and investigate the details of cost category and level. Conclusion By the Mtb/HIV co-infection response cost structure analysis and cost estimates, the cost estimation methods and system is gradually established on all kinds of prevention and control work in CDC. The cost estimation study provides a scientific and effective basis for funding configuration at all levels of government.
出处
《中国防痨杂志》
CAS
2011年第11期752-757,共6页
Chinese Journal of Antituberculosis
基金
中国全球基金结核病项目(CHN-506-G08-T)
关键词
结核/预防和控制
HIV感染
重叠感染
成本及成本分析
云南省
Tuberculosis/prevention ＆ control
HIV infections
Super infection
Costs and cost analy-sis
Yunan province
