王冠中, 朱菁, 顾海雁, 倪红伟. 上海市徐汇区大肠癌筛查成本效益分析[J]. 上海预防医学, 2018, 30(7): 584-587, 596. DOI: 10.19428/j.cnki.sjpm.2018.18586
引用本文: 王冠中, 朱菁, 顾海雁, 倪红伟. 上海市徐汇区大肠癌筛查成本效益分析[J]. 上海预防医学, 2018, 30(7): 584-587, 596. DOI: 10.19428/j.cnki.sjpm.2018.18586
WANG Guan-zhong, ZHU Jing, GU Hai-yan, NI Hong-wei. Cost-benefit analysis of colorectal cancer screening in Xuhui District, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2018, 30(7): 584-587, 596. DOI: 10.19428/j.cnki.sjpm.2018.18586
Citation: WANG Guan-zhong, ZHU Jing, GU Hai-yan, NI Hong-wei. Cost-benefit analysis of colorectal cancer screening in Xuhui District, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2018, 30(7): 584-587, 596. DOI: 10.19428/j.cnki.sjpm.2018.18586

上海市徐汇区大肠癌筛查成本效益分析

Cost-benefit analysis of colorectal cancer screening in Xuhui District, Shanghai

  • 摘要:
    目的对大肠癌筛查项目进行成本效益分析,为大肠癌筛查的广泛推广提供依据。
    方法收集2011-2016年上海市徐汇区社区居民大肠癌筛查数据,通过测算筛查成本、筛查效益、成本效果、净效益、效益成本比,分析大肠癌筛查成本效益。
    结果徐汇区大肠癌筛查初筛人均成本为18.20元,平均每发现1例"高危"居民成本为111.82元,平均每发现1例腺瘤性病变成本为9 755.94元,平均每发现1例大肠癌成本为59 866.02元;筛查获益856.81万元,效益成本比为2.63。
    结论大肠癌筛查的经济效益大于成本,在大肠癌"高危"人群和高发地区推行大肠癌筛查是有益处的。

     

    Abstract:
    ObjectiveThe colorectal cancer screening was investigated by the analysis of cost-benefit in the light of health economics, so as to obtain a scientific basis for development and promotion of colorectal cancer screening.
    MethodsThis study was based on the data from colorectal cancer screening in Xuhui District in Shanghai from 2011 to 2016, through estimation of cost, benefit, cost effectiveness, net benefit, cost-effectiveness ratio and analysis of the cost-effectiveness of colorectal cancer screening by the method of benefit ratio.
    ResultsThe average cost of 1 case in the first round of the colorectal cancer screening was 18.20 yuan in Xuhui District.The average cost for finding a case of high risk case was 111.82 yuan, for finding a case of adenomatous lesions 9 755.94 yuan, and for finding a case of colorectal cancer 59 866.02 yuan.The colorectal cancer screening benefit cost was 8 568 100 yuan, the benefit cost ratio was 2.63.
    ConclusionThe economic benefit of the colorectal cancer screening is much more than the cost, so carrying out the screening for high-risk groups and high-risk areas of colorectal cancer is beneficial.

     

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