摘要
目的 对《天津市妇女儿童健康促进计划(2013—2020年)》进行卫生经济学评价,为后续的妇女儿童提升计划和相关政策提供依据。方法 采用成本效益分析方法,以货币单位衡量卫生服务项目的投入和产出,从政府购买服务的角度,对《天津市妇女儿童健康促进计划(2013—2020年)》的16项惠民项目,即控制出生缺陷服务13项和妇儿健康服务3项进行卫生经济学评价。从采用成本效益比表示的经济价值角度来反映项目的意义。结果 2013—2020年项目实施期间,政府共投入5.41亿元用于免费提供16项惠民服务,共实现效益205.55亿元,整体成本效益比为1∶38.02,即政府每投入1元带来的效益为38.02元。其中妇儿健康服务成本效益比为1∶27.96,控制出生缺陷服务成本效益更高,为1∶44.90。结论 《天津市妇女儿童健康促进计划(2013—2020年)》总体和各分项目都具有较高的成本效益,为政府、医保资金及家庭节省了大量潜在的医药费支出,有力地保障了经济社会高质量发展及家庭共享健康红利。
Objective To provide health economic evaluation of Tianjin Women’s and Children’s Health Promotion Plan(2013-2020),in order to provide evidence for upgrading women’s and children’s health implementation plan and policy making.Methods Health economics evaluation,whose input and output of health service projects were measured in monetary units,was conducted on 16 benefit projects of Tianjin Women and Children’s Health Promotion Plan(2013-2020),including 13 birth defect control services and 3 maternal and child health services based on cost-benefit analysis method from the perspective of government procurement of services.It reflected the significance of the project from the perspective of economic value based on cost-benefit ratio.Results During the project implementation period from 2013 to 2020,government invested 541 million yuan to provide 16 free services,which achieved a total benefit of 20.555 billion yuan.The overall cost-benefit ratio was 1∶38.02,which meant that the benefit brought by 1 yuan invested by the government was 38.02 yuan.Among which,the cost-effectiveness ratio of maternal and child health services was 1∶27.96,and that number of birth defect control services was even higher at 1∶44.90.Conclusion Tianjin Women’s and Children’s Health Promotion Plan(2013-2020)is cost-effective as a whole and for each sub-project,saving a large quantity of potential medical expenses for the government,medical insurance funds and families.It will effectively guarantee high-quality economical and social development,and family sharing health dividends.
作者
王鹏
李卫芹
冷俊宏
WANG Peng;LI Wei Qin;LENG Jun Hong(Tianjin Women’s and Children’s Health Center,Tianjin 300070,China)
出处
《中国妇幼卫生杂志》
2024年第3期5-10,共6页
Chinese Journal of Women and Children Health
基金
天津市医学重点学科(专科)建设项目(TJYXZDXK-075C)。
关键词
妇女儿童
成本
效益
women and children
cost
benefit
