高培, 王丹, 石诗雯, 吕敏, 石学峰, 吴疆, 郭艺玮, 王溪. 1992-2013年北京市医院产科乙型肝炎疫苗免疫规划接种成本测算与分析[J]. 疾病监测, 2019, 34(2): 179-182. DOI: 10.3784/j.issn.1003-9961.2019.02.020
引用本文: 高培, 王丹, 石诗雯, 吕敏, 石学峰, 吴疆, 郭艺玮, 王溪. 1992-2013年北京市医院产科乙型肝炎疫苗免疫规划接种成本测算与分析[J]. 疾病监测, 2019, 34(2): 179-182. DOI: 10.3784/j.issn.1003-9961.2019.02.020
Pei Gao, Dan Wang, Shiwen Shi, Min Lyu, Xuefeng Shi, Jiang Wu, Yiwei Guo, Xi Wang. Cost estimation of hepatitis B vaccine immunization in obstetrics departments of hospitals in Beijing, 1992–2013[J]. Disease Surveillance, 2019, 34(2): 179-182. DOI: 10.3784/j.issn.1003-9961.2019.02.020
Citation: Pei Gao, Dan Wang, Shiwen Shi, Min Lyu, Xuefeng Shi, Jiang Wu, Yiwei Guo, Xi Wang. Cost estimation of hepatitis B vaccine immunization in obstetrics departments of hospitals in Beijing, 1992–2013[J]. Disease Surveillance, 2019, 34(2): 179-182. DOI: 10.3784/j.issn.1003-9961.2019.02.020

1992-2013年北京市医院产科乙型肝炎疫苗免疫规划接种成本测算与分析

Cost estimation of hepatitis B vaccine immunization in obstetrics departments of hospitals in Beijing, 1992–2013

  • 摘要:
    目的测算并分析北京市医院产科乙型肝炎(乙肝)疫苗免疫规划工作的成本及变化规律,为乙肝免疫规划政策的制定、乙肝免疫项目投入–产出评价提供参考和数据支撑。
    方法采用现场调查、问卷调查等方法,利用ACCESS软件建立数据库并进行2次数据录入,采用SAS 9.4软件对注射时长的差异进行配对t检验,采用Excel 2016软件对医院注射总成本和单位成本等数据进行描述性分析。
    结果1992 — 2013年,北京市医院产科乙肝疫苗接种总成本(医院总成本)由41.00万元增长为434.42万元,总成本年均增长率为11.90%,医院产科乙肝疫苗接种单位成本(医院单位成本)则由5.38元增长为37.25元,增长了7倍,单位成本年均增长率为9.65%,医院产科在乙肝疫苗免疫规划项目发生的主要成本是人力成本,从一定程度上来说,医院总成本的增长是由于人力成本的增长。
    结论医院产科在乙肝疫苗接种方面发生的总成本、单位成本均呈明显上升趋势,单位成本的增长幅度小于总成本的增长幅度,人力成本的增长是医院总成本增长的主要原因。

     

    Abstract:
    ObjectiveTo estimate the cost of hepatitis B vaccine (HBV) immunization and its change pattern in the obstetrics departments of hospitals in Beijing, and provide data support for policy-making and evaluation of HBV immunization efficiency.
    MethodsData collection was conducted through field investigation and questionnaire survey. Database was established with ACCESS software, and data were entered twice. Data analysis was performed with software SAS 9.4 and Excel 2016.
    ResultsFrom 1992 to 2013, the overall cost HBV immunization in obstetrics departments of hospitals in Beijing increased from 41.00 ten thousand yuan to 434.42 ten thousand yuan, with an annual growth rate of 11.90%; and the unit cost increased by 7 times, from 5.38 yuan to 37.25 yuan, with an annual growth rate of 9.65%. The cost of HBV immunization mainly originates from labor cost. Therefore, to some extent, the growth of overall cost of HBV immunization in hospitals is due to the increase of labor cost.
    ConclusionIn the obstetrics departments of hospitals in Beijing, both the overall cost and the unit cost of HBV immunization showed an obvious increasing trend. The growth rate of unit cost was lower than that of total cost, and the growth of total cost mainly attributed to the increase of labor cost.

     

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