狂犬病疫苗接种依从性及经济成本研究

中国疫苗和免疫 Pub Date : 2010-06-01
Chuan-lin Wang, Xiao-wei Zhang, Yong-xin Yu
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引用次数: 0

摘要

目的:了解完成狂犬病疫苗全程接种计划的情况,并分析其经济成本。方法:对2007年6月至2009年1月在北京大学人民医院急诊科就诊的患者进行埃森方案疫苗接种依从性调查。埃森方案和萨格勒布方案的经济成本采用国家药品和生物制品控制研究所的平均疫苗接种成本和平均释放量估算。结果:共访谈3440例患者。ⅰ类、ⅱ类和ⅲ类暴露者完成全部疫苗接种计划的比例分别为33.3%、77.1%和78.0%。前3次给药依从性较高,第3次给药后依从性明显降低。埃森治疗组个人医疗费用为694元,萨格勒布治疗组个人医疗费用为482.2元。埃森方案估计年医疗费用为97.09亿元,萨格勒布方案估计年医疗费用为67.46亿元。结论:为了简化疫苗管理,提高依从性,降低狂犬病疫苗接种成本,应推荐Zagreb方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Study on the compliance and economic cost of rabies vaccination].

Objective: To learn the compliance status regarding completing full rabies vaccination schedule, and to analyse the economic cost.

Methods: Interviewing patients who visited doctor at Emergency Department, the People's Hospital, Beijing University from June 2007 to January 2009 on vaccination compliance of Essen regimens. The economic cost of Essen regimen and Zagreb regimen were estimated using average vaccination cost, average release amount by National Institue for Control of Pharmaceutical and Biological Products.

Results: In total, 3440 patients were interviewed. The proportion completing full vaccine schedule was 33.3%, 77.1% and 78.0% for exposure category I, II and III respectively. The compliance was high for first 3 doses, it reduced significantly after the third dose. The individual medical costs was 694 RMB for Essen regimen, and 482.2 RMB for Zagreb regimen. The estimated annual medical costs was 9.709 billion RMB for Essen regimen, and 6.746 billion RMB for Zagreb regimen nationaly.

Conclusions: The Zagreb regimen should be recommended in order to simplify the vaccine administration, to increase compliance and to reduce rabies vaccination cost.

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