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                                          第5卷第 2 期，2008年4月                                                                                                                                                                            
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  Emerging Infectious Diseases Journal
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第5卷第 2 期，2008年4月
                                          原創研究                                                                                                                                                                                        
                                          啟動結直腸癌篩查計劃的費用：來自五個聯邦資助演示計劃的結果                                                                                                                                                               
 
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                                          Florence K.L. Tangka, PhD, Sujha Subramanian, PhD, Bela Bapat, MS, Laura C. Seeff, MD, Amy DeGroff, MPH, James Gardner, MSPH, A. Blythe Ryerson, MPH, Marion Nadel, PhD, Janet Royalty, MS  
                                          建議在引用本文時注明下列出處：由Tangka FKL, Subramanian S, Bapat B, Seeff LC, DeGroff A, Gardner J等人所著的《啟動結直腸癌篩查計劃的費用：來自五個聯邦資助演示計劃的結果》[摘要]。刊載於《慢性疾病預防》2008;5(2) [網上期刊]。http://www.cdc.gov/pcd/              
                                          issues/2008/                                                                                                                                                                                
                                          apr/07_0202_zhs.htm。登錄[日期]。                                                                                                                                                                 
                                          經同行評審                                                                                                                                                                                       
                                          摘要                                                                                                                                                                                          
                                          簡介                                                                                                                                                                                          
                                          2005年，疾病控制及預防中心（CDC）啟動了一個3年結直腸癌篩查演示專案，以探查為醫療服務不足的美國人口提供一個結直腸癌計劃的可行性。CDC評估了五個計劃，以估測實施費用，確定最佳實踐和決定最具成本效益的方法。專案目的是為廣泛實施結直腸癌篩查計劃計算啟動費用並估測資金要求。                                                  
                                          方法                                                                                                                                                                                          
                                          我們開發了工具來收集資源使用及相關費用的資料。估計了啟動活動的費用，包括計劃管理、資料庫開發、建立夥伴關係、公眾教育和延伸、品質保證和專業發展以及患者支持。還評估了為啟動計劃投入的實物之金錢價值。                                                                                          
                                          結果                                                                                                                                                                                          
                                          五個計劃的啟動時間從9到11個月不等；成本介於$60,602到$337,715之間。對計劃啟動活動而言，CDC的資金和實物投入是關鍵資源。預算類別中花費最大的是人力，平均占去啟動費用的67%。按活動劃分費用最大的類別是管理（28%）、資料庫開發（17%）、行政（17%）和品質保證（12%）。其他突出的花費是公眾教育和延伸（9%）以及患者支持（8%）。            
                                          結論                                                                                                                                                                                          
                                          就我們所知，此前還沒有報告詳細介紹了為醫學服務不足的人群啟動結直腸癌篩查計劃的費用。啟動費用並非小數，因此是規劃和制定預算過程中需要考慮的重要因素。實物投入也是總體計劃資金的重要部分。啟動費用隨可用的基礎設施和計劃的特有設計而變化。這些研究結果可協助制定有組織的結直腸癌計劃。                                                  
    The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors’ affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.  
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