Cost-effectiveness Analysis on the Health Service Package of Traditional Chinese Medicine Preventive Treatment of Preconception Care for Women of Childbearing age

doi:10.7664/CHE20170418

Abstract：Objective:To evaluate cost-ettectiveness of the health services package ot traditional Chinese medicine(TCM) preventive treatment of disease improving fertility of women,providing evidence for the application of TCM preventive treatment of diseases among women who prepare to get pregnant.Methods:7 citv districts and counties were selected by cluster randomized sampling method,and 806 women who prepared to get pregnant were selected as the objects of the study between december 2015 and January 2016.For intervenient group,besides conventional health education,TCM constitution of women were also identified and adjusted by health services pack of TCM preventive treatment of disease.For control group,only conventional health education was applied for women of childbearing age.The pregnancy rate of women was evaluated after 6 months.Economic evaluation was made by calculating the cost-effectiveness ratio.Results:The pregnancy rate of intervenient group and control group were 35.81％ and 23.83％ separately.The differences had statistical significance(P=0.0014).According to the cost-effectiveness analysis,the cost to pay for managing fee per pregnancy was 385.46 yuan for intervenient group and 534.90 yuan for control group.Health services pack of TCM preventive treatment of disease had a better cost effectiveness ratio.Besides,the result of this study remained stable when employees' salaries fluctuated in normal range.Conclusion:Health services package of TCM preventive treatment of disease had a better effectiveness in improving fertility of women than conventional health education,and the cost-effectiveness of intervention was better than the control group.