乙型肝炎查和疫苗接种的成本效益分析:针对中国疫情和零星环境中的脆弱人群
Hanting Liu1, Gang Chen2, Yusheng Jie3
1Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou, China.
Emerging microbes & infections
|January 27, 2026
概括
对于中国的慢性乙型肝炎患者来说,E型肝炎查和疫苗接种是具有成本效益的. 高昂的疫苗成本限制了其他群体的更广泛实施,特别是在零星的环境中.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 肝炎E病毒 (HEV) 构成了重大的公共卫生挑战.
- 了解HEV干预措施的经济和健康益处对于资源分配至关重要.
研究的目的:
- 评估HEV查和疫苗接种战略的成本效益.
- 评估在中国的疫情和零星环境中HEV预防的好处.
主要方法:
- 决策分析马尔科夫模型用于人口影响和成本效益分析.
- 模拟预测了不同时间范围 (6个月到终身) 的结果.
- 增量成本效益比率 (ICER) 从卫生系统的角度计算.
主要成果:
- 预防性查和3剂疫苗接种对于慢性乙型肝炎 (CHB) 患者在零星环境中是具有成本效益的 (ICER:$ 25.38k/QALY).
- 反应性查和2剂疫苗接种对老年人,孕妇和在疫情爆发环境中的CHB患者来说是具有成本效益的.
- 疫苗的高成本 (每剂量>21美元) 在零星情况下限制了其他弱势群体的成本效益.
结论:
- 在中国的零星环境中,HEV查和疫苗接种主要对CHB患者具有成本效益.
- 目前的疫苗价格使得广泛的HEV预防策略在经济上对其他关键人群来说是不可行的.
- 需要有针对性的干预措施,考虑到特定的设置动态和疫苗定价.
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