Health economic evaluation on the monitoring system of leprosy suspicious symptoms under low-epidemic status
Objective To analyze the performance and economic significance of leprosy suspicious symptoms monitoring system in Bao'an district,Shenzhen,and provide scientific evidence for rationally utilizing health economic resources.Methods The data from the leprosy suspicious symptoms monitoring system from 2011-2020 were collected;the health economic evaluation on the monitoring system was conducted using the cost-effectiveness analysis,cost-utility analysis and cost-benefit analysis methods.Results The total investment for monitoring system was 1 794 377.82 yuan from 2011-2020,and 41 cases of leprosy were diagnosed.The average cost was 43 765.31 yuan per new case.The average duration of delayed diagnosis was shortened by 18.51 months per new case compared to years before leprosy suspicious symptoms monitored(2001-2010),and the average cost of institutional prevention and treatment was 2 305.13 yuan for shortening the delayed-diagnosis duration by one month per new case.The average times of misdiagnosis was reduced by 1.46 times per new case,and the average cost of institutional prevention and treatment was 29 224.62 yuan for avoiding one misdiagnosis.Two cases with level-2 disability were avoided,and the average cost of institutional prevention and treatment was 874 692.91 yuan for avoiding one cases with disability.The symptoms monitoring saved 94.44 DALYs;the total benefit of was 8 868 421.70 yuan,and the net benefit was 7 074 043.88 yuan.The cost-benefit ratio was 5.Conclusions The leprosy suspicious symptom monitoring system has good health economic benefits and is a prevention and treatment model for responding to the low prevalence of leprosy and effectively detecting early patients.
NETL
NSTL
万方数据
