Time Series Calculation And Analysis Of Hepatitis B Vaccine Immunization Costs In Beijin

Objectives:To collect,measure and analyz the cost of hepatitis B planning immunization project in Beijing from 1992 to 2013.Through the analysis of the cost,the composition and the proportion of the cost input of each institution,The economic evaluation strategy and measures of hepatitis B vaccine in Beijing for more than 20 years were provided,which provided the basis for the Beijing municipal government to optimize the policy,strategy and prevention and control of hepatitis B in Beijing.Contents:This study have done in Beijing from 1992 to 2013,the cost of hepatitis B planning immunization project to collect,select the scientific method of measurement and analysis.The main contents of the research and analysis include the following aspects:1.Total amount of cost input from the planning and immunization project of hepatitis B in Beijing from 1992 to 2013.2.Unit cost analysis of immunization per acupuncture vaccine for hepatitis B from 1992 to 2013 in Beijing3.Analysis on the cost change of Hepatitis B planning immune project in Beijing from 1992 to 2013.4.Analysis of the Personal expenditure of hepatitis B planning immunization project in Beijing from 1992 to 2013.Method:In the early stage of the cost data collection process,the survey method was used many times,including the questionnaire survey method,the work log investigation method and the literature investigation method.This study is based on the collection of the collection plan,the determination of the cost data to the calculation of the cost data,the expert law runs through.Expert law includes expert advice and expert meeting law.In this study,consult a number of experts in the fields of health economics,epidemiology and public health,and held only six meetings of experts,covering 15 experts in health economics,epidemiology and public health.In this paper,the data loss caused by the yearly and cost items is systematically filled.The methods include trend extrapolation method,moving average method and proportional push method.Result:Analysis of total cost and change Trend.The total cost of government investment is increasing,the unit cost per needle is also increasing year by year,the average growth rate of 4.36;from the unit cost point of view,the average unit cost changes to a minimum of 18.11yuan,appeared in 1996,Up to 35.12 yuan,appeared in 2004,the average growth rate of 2.64%.Cost composition analysis.From 1992 to 2013,the proportion of cost input by different institutions,the total cost of CDC investment accounted for the highest,accounting for 40.53%,community outpatient/community health service center cumulative cost of 3 8.23%,the hospital’s cumulative investment Cost accounted for 21.23%.From 1992 to 2013,the proportion of different institutions put into the cost of the trend analysis,from the overall analysis,the proportion of CDC is declining trend,from 60.82%in 1992 to 25.36%in 2013;the proportion of hospitals The change is not significant,the highest value appears in 2013,at 24.17%,the lowest value in 1992,7.15%;community outpatient/community health service center does not change greatly,the highest value appears in 2012,35.53,he lowest value in 2004,was 22.21%.From the perspective of cost type.From 1992 to 2013,from the different types of cost situation,the largest proportion of human costs,accounting for 43.26%of the total cost of the calendar year,accounting for second place is the cost of the vaccine,the total cost of 28.53%Accounting for15.20%of the proportion of supplies accounted for a relatively small amount of 12.92%.From the perspective of the trend of different types of costs over the years,the proportion of the vaccine is obviously declining,with an average annual decline rate of 9.08%.Labor costs and public funds are on the rise,with an average annual growth rate of 4.87%and 6.73%respectively.Analysis of Individual Expenditure.From the perspective of the cost of personal expenditure,from the perspective of direct costs,that is,vaccination of hepatitis B vaccine newborns need to pay the cost of the part of the cost of a significant decline in the state.The highest value of the first delivery fee appeared in 1992,30.23 yuan,the lowest value in 2013,0.5 yuan,the average annual rate of decline of 17.01%,the highest total value in 1992,230.55 million,The lowest value in 2004,to 23.3 million yuan.From the second,three-pin charges,the lowest value appears in 2013 after 3 yuan,the highest value in 1992,at 15.37 yuan,the average cost of the rate of decline of 7.21%,the second and third charge The average is 1.1713 million yuan,the highest value in 1992,to 2.141 million yuan,the lowest value in 2004,to 418,800 yuan.From the point of view of indirect cost,the average unit cost of transportation in 1992～2013 was 10.33 yuan,of which the highest value appeared in 2003 was 12.97 yuan,the lowest value appeared in 1992,at 4.21 yuan,the overall trend,The average value of the total transportation costs from 1992 to 2013 was 247.32 million yuan,the highest value in 2012,to 507.95 million yuan,the lowest value in 1994,to 851,600 yuan,the average annual growth rate The average value of the unit lost in 1992 to 2013 is 45.83 yuan,of which the maximum value in 2013,108.82 yuan,the minimum occurred in 1992,9.84 yuan,the average annual growth rate of 10.03%;from The average total cost of labor lost from 1992 to 2013 was 12,162,600 yuan,the highest value appeared in 2013,4112.1 million yuan,the lowest value in 1992,841,600 yuan,the average growth rate For 13.24%.Conclusion:1.From 1992 to 2013,the total cost of the vaccine put into government,the unit cost per unit of the needle is on the rise.2.From 1992 to 2013,the changes in the cost of the general trend clear,but in individual years there are sudden or sudden decline in the existence of the phenomenon of this phenomenon and the current policy,economic development and other factors related to The3.From 1992 to 2013,the cost structure changed greatly,and the proportion of labor cost,public expenditure,vaccine cost and consumable cost structure changed greatly,especially the proportion of vaccine cost and labor cost changed greatly.4.From the point of view of personal expenditure,the direct cost is declining,and the indirect cost is increasing.The main reason is the increase of the cost of working.Suggestion:The government should pay more attention to the compensation for the hepatitis B immunodeficiency project,and pay more attention to the cost of hepatitis B vaccination,and pay more attention to the cost of labor,and pay special attention to the manpower cost of the disease prevention and control department Of compensation.