谷玉婷,张晋昕,任泽舫.广州市越秀区大肠癌筛查成本效益分析[J].中国肿瘤,2015,24(8):657-661.
广州市越秀区大肠癌筛查成本效益分析
Cost-effectiveness of Colorectal Cancer Screening in Yuexiu District,Guangzhou City
投稿时间:2014-07-31  
DOI:10.11735/j.issn.1004-0242.2015.08.A007
中文关键词:  大肠癌筛查  人力资本法  成本效果分析  成本效益分析  广州
英文关键词:colorectal cancer screening  human capital  cost effectiveness  cost benefit  Guangzhou
基金项目:
作者单位
谷玉婷 广州市疾病预防控制中心/中山大学公共卫生学院 
张晋昕 中山大学公共卫生学院 
任泽舫 中山大学公共卫生学院 
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中文摘要:
      摘 要:[目的] 依据广州市越秀区2011~2013年的大肠癌筛查数据,分析大肠癌筛查的经济效益和社会效益,为大肠癌筛查的推广提供理论依据。[方法] 测定大肠癌筛查的直接成本、直接效益和间接效益,计算筛查成本效果、净效益和效益成本比。[结果] 平均初筛1人的成本为25.17元,复筛1人的成本为290.00元,确定1例高危人群成本为62.94元,确诊1例腺瘤性病变的成本为2313.14元,确定1例大肠癌的平均成本需63380.00元;筛查可获益448.54万元,效益成本比为3.63。[结论]大肠癌筛查可降低医疗成本,提高早诊早治率,有一定意义。
英文摘要:
      Abstract:[Purpose] To analyze the economic and social benefits of colorectal cancer screening based on the colorectal cancer screening data in Yuexiu District,Guangzhou City from 2011 to 2013,and to provide the theoretical basis of colorectal cancer screening. [Methods] The direct costs,direct and indirect benefits of colorectal cancer screening were measured and estimated,and the cost effectiveness,net benefit and cost-effectiveness ratio were calculated. [Results] The average cost of 1 case in the first round of screening was 25.17 RMB,and in the second round of screening was 290.00 RMB. Determining 1 high-risk case was 62.94 RMB,diagnosing 1 case of adenoma lesions was 2313.4 RMB,and confirming 1 case of colorectal cancer was 63380.00 RMB,on average. The colorectal cancer screening net benefit was 4 485 400 RMB,and the benefit cost ratio was 3.63. [Conclusion] The colorectal cancer screening can reduce medical costs,increase the rate of early detection and treatment,has certain significance.
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