McKay N L, Phillips K M
Department of Health Care Administration, Trinity University, San Antonio, TX 78212.
Inquiry. 1991 Fall;28(3):236-48.
This study provides a comprehensive assessment of mandatory premarital testing for HIV. We incorporate new evidence about the assumptions underlying an economic evaluation of premarital testing, use standard methods of program evaluation (cost-effectiveness analysis and cost-benefit analysis), and carefully evaluate how changes in the various assumptions affect the results. The cost-effectiveness results show that, under the most likely conditions, the cost per case of HIV infection prevented by mandatory premarital testing would be between $70,000 and $127,000. In the cost-benefit analysis, the benefit-cost ratio in the most likely scenarios ranges between 3.1 and 28.2.
本研究对强制性婚前HIV检测进行了全面评估。我们纳入了关于婚前检测经济评估所依据假设的新证据，运用项目评估的标准方法（成本效益分析和成本效益分析），并仔细评估各种假设的变化如何影响结果。成本效益结果表明，在最可能的情况下，通过强制性婚前检测预防每例HIV感染的成本在70,000美元至127,000美元之间。在成本效益分析中，最可能情况下的效益成本比在3.1至28.2之间。
