CAJ | 학술논문

　　目的：对我国农村地区开展醋酸和复方碘液染色肉眼观察(VIA/VILI)子宫颈癌筛查进行经济可行性分析。方法：通过建立Markov模型，预测不同筛查方案实施20年后的人均次筛查诊断成本，结合相关调查数据，进行费用分担机制和经济可行性分析。结果：各种筛查方案的人均次筛查诊断成本在12.83~14.08元之间，占农村居民年人均纯收入、人均消费性支出和新农合人均筹资水平的比例很小。结论：我国农村地区采用VIA/VILI技术开展子宫颈癌筛查具有经济可行性，可以考虑政府和个人共同承担子宫颈癌筛查费用或将筛查项目纳入到新农合保障系统中。
　　목적：대아국농촌지구개전작산화복방전액염색육안관찰(VIA/VILI)자궁경암사사진행경제가행성분석。방법：통과건립Markov모형，예측불동사사방안실시20년후적인균차사사진단성본，결합상관조사수거，진행비용분담궤제화경제가행성분석。결과：각충사사방안적인균차사사진단성본재12.83~14.08원지간，점농촌거민년인균순수입、인균소비성지출화신농합인균주자수평적비례흔소。결론：아국농촌지구채용VIA/VILI기술개전자궁경암사사구유경제가행성，가이고필정부화개인공동승담자궁경암사사비용혹장사사항목납입도신농합보장계통중。
Objective To analyze the economic feasibility of using visual inspection of acetic acid combined with iodine (VIA/VILI) to screen cervical cancer in rural China. Methods:Markov model was established to calculate the screening cost per capita and per time of diverse screening strategies. Survey data was considered to estimate the cost-sharing mechanisms and economic feasibility of screening in 20 years. Results: The screening cost per capita and per time of assessed screening strategies range from RMB12.83 to RMB14.08, which only covered a very small proportion of the rural average annual net income, consumption expenditure per capita and the new rural cooperative medical care funds per capita. Conclusion: VIA/VILI is economically feasible for cervical cancer screening in rural China, besides governmental and individual investment is considered to share the cost or adopt the screening into new rural cooperative insurance system.