Mills A
Health Policy Unit, London School of Hygiene.
Health Econ. 1993 Dec;2(4):333-47. doi: 10.1002/hec.4730020406.
The research reported here assessed the value of malaria control through a cost-effectiveness study of the vertically-organized malaria control programme in Nepal. It presents a methodological framework for analysing cost-effectiveness which includes resource-saving consequences as well as health consequences. The methods used to collect data on control costs, cases and deaths prevented, treatment costs averted and production gains are described and the assumptions required by the analysis are made explicit. A variety of cost-effectiveness ratios are calculated, sensitivity analysis applied and the policy implications of the results considered. The results from Nepal are compared to estimates for parasitic disease and other health programmes in other countries: it is concluded that the Nepalese programme appears no less cost-effective than many other health interventions. It can also be justified by reference to the population groups benefiting from malaria control.
本文所报告的研究通过对尼泊尔垂直组织的疟疾控制项目进行成本效益研究，评估了疟疾控制的价值。它提出了一个分析成本效益的方法框架，其中包括资源节约后果以及健康后果。描述了用于收集控制成本、预防的病例和死亡、避免的治疗成本以及生产收益数据的方法，并明确了分析所需的假设。计算了各种成本效益比率，进行了敏感性分析，并考虑了结果的政策含义。将尼泊尔的结果与其他国家寄生虫病和其他卫生项目的估计值进行了比较：得出的结论是，尼泊尔的项目似乎并不比许多其他卫生干预措施的成本效益低。通过参考受益于疟疾控制的人群，也可以证明其合理性。
