摘要
目的 筛选出部队人群疫苗预防甲肝的最佳策略 ,为部队控制甲肝流行提供科学决策的依据 .方法 运用成本 -效果分析法和决策学方法 .结果 从接种方案的成本 -效果比 (CER)来看 ,对部队干部人群实施先筛选再接种 ,其CER为 - 12 31.2 7,直接接种 CER为 - 2 6 9.84,新兵先筛选再接种 ,其 CER为 - 76 2 .5 6 ,直接接种 CER为 - 32 .10 .经灵敏度分析发现 ,决策结果稳定 ,不随参数取值的变化而改变 .结论 当前条件下 ,部队甲肝疫苗接种优选对象为干部人群 ,并首选先筛选再接种方案 ,由于新兵接种甲肝疫苗也产生正效益 ,所以对新兵也应考虑接种 .
AIM To screen the most cost effective strategy for vaccination against hepatitis A in the armies. METHODS Cost effectiveness and decision tree analysis were adopted for decision making of vaccination strategies against HA in armies. RESULTS Cost effectiveness ratio (CER) of ‘screen and vaccination’ (-1231.27) was lower than that of ‘direct vaccination’ (-269.84) for the officers. As far as the recruits were concerned, the former (-762.56) was lower than the latter (-32.10) too. Sensitivity analysis demon strated that the result of decision did not change with the variation of the input data. CONCLUSION Officers should be considered first for vaccination and the screening vaccination strategy is most cost effective for them. The recruits should also be considered for the positive benefit of vaccination.
出处
《第四军医大学学报》
北大核心
2001年第1期57-60,共4页
Journal of the Fourth Military Medical University
基金
全军"九五"指令性课题!(96 L0 49)
关键词
甲肝疫苗
接种
成本-效果分析
部队
military
hepatitis A
vaccination strategy
cost effectiveness analysis
