摘要
目的对2006--2010年广州市113家医疗机构实施的HIV检测措施进行成本效果分析。方法测算2006--2010年广州市113家医疗机构的HIV检测措施的成本投入，收集广州市医疗机构HIV检测人次数以及检测出的HIV感染者人数，并利用Markov模型模拟因实施HIV检测措施获得的质量调整生命年（QALY），对该措施进行成本效果分析。结果2006--2010年广州市医疗机构HIV检测措施的总成本投入呈上升趋势，由1110．698万元上升到2510．558万元，共发现了4599例HIV感染者；每发现1例HIV感染者所对应的成本不完全相同，最低为1．181万元，最高为2．351万元，平均为1．607万元。Markov模型模拟结果显示，广州市113家医疗机构实施HIV检测措施后，平均每例HIV感染者可累计获得7．2855个QALY，每挽回1个QALY需要花费0．221万元。结论广州市医疗机构实施的HIV检测措施的成本效果比明显低于WHO的判断标准，说明该措施符合成本效益原则。
Objective To evaluate the cost effectiveness of HIV testing strategy in hospitals from 2006 to 2010 in Guangzhou. Methods According to the HIV test strategy costs and the number of HIV patients found in Guangzhou, following aspects were calculated as the total cost of HIV testing strategy in hospitals from 2006 to 2010 of Guangzhou, the cost of finding each HIV patient, and the cost of obtaining one quality adjusted life year（QALY） using Markov model. Results The total HIV test strategy costs increased from 11 106. 98 thousand Yuan to 25 105. 58 thousand Yuan ,and 4599 HIV positive patients were found due to this strategy. The cost-effectiveness of HIV testing were different in hospitals from 2006 to 2010 in Guangzhou. The lowest cost-effectiveness ratio of HIV testing strategy was 11 810 Yuan per HIV positive patient,the highest was 23 510 Yuan, and the average was 16 070 Yuan. According to the Markov model result,7. 2855 QALYs could be gained per HIV patient on average via HIV testing strategy in 113 hospitals in Guangzhou,and the cost of obtaining one QALY was 2210 Yuan. Conclusion The cost effectiveness ratio of HIV testing strategy in hospitals in Guangzhou was significantly lower than the standard of WHO recommended, and it was cost-effective to carry out the HIV testing strategy in Guangzhou.
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2013年第6期547-551,共5页
Chinese Journal of Preventive Medicine
关键词
HIV
评价研究
HIV检测
效果
HIV
Evaluation studies
HIV testing
Effectiveness
