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目的探讨宫颈癌筛查在贫困县推广的成本效益,为卫生行政部门的项目推广提供决策依据。方法选取慈利县2012-2014年宫颈癌筛查和患者治疗相关数据进行成本测算,计算筛查成本效益比,评价干预效果。结果慈利县近三年投入筛查的总费用为299.6万元,44名CIN3/原位癌和宫颈癌患者治疗总费用为149.8万元,因避免减寿带来的总收益为1 223.9万元,效益成本比为2.72:1,平均每挽救一个寿命年的花费为7 455.1元。结论宫颈癌筛查项目的推广在贫困县体现了较好的经济效益,值得进一步推广和普及。
Objective To explore the cost-effectiveness of cervical cancer screening in poverty-stricken counties and provide decision-making basis for the promotion of health administrative departments. Methods Cili County, 2012-2014 cervical cancer screening and treatment of patients with relevant data for cost estimates, calculate the cost-effectiveness of screening, evaluate the effect of intervention. Results Cili County in the past three years, the total cost of screening for 299.6 million yuan, 44 CIN3 / cancer in situ and cervical cancer treatment of the total cost of 1.498 million yuan, to avoid longevity to bring the total revenue of 12.229 million Yuan, the cost-benefit ratio of 2.72: 1, save an average of 7 455.1 yuan for each life-saving year. Conclusion The promotion of cervical cancer screening project shows good economic benefits in poverty-stricken counties and deserves further promotion and popularization.