Titre :
|
The Denver school-based adolescent hepatitis B vaccination program : A cost analysis with risk simulation. (1999)
|
Auteurs :
|
R.R. DEUSON ;
G. BAKKER ;
D. DAEKE ;
D. GOLDSMAN ;
A.L. HAMMER ;
E.J. HOEKSTRA ;
F.N. JUDSON ;
P. MELINKOVICH ;
R. SEDJO ;
Colorado Department of Public Health and Environment. Denver. CO. USA ;
National Immunization Program. Centers for Disease Control and Prevention. Atlanta. GA. USA ;
Public Health Department and Community Health Services. Denver Health and Hospital Authority. Denver. CO. USA
|
Type de document :
|
Article
|
Dans :
|
American journal of public health (vol. 89, n° 11, 1999)
|
Pagination :
|
1722-1727
|
Langues:
|
Anglais
|
Mots-clés :
|
Hépatite virale B
;
Virose
;
Infection
;
Adolescent
;
Homme
;
Prévention santé
;
Vaccination
;
Programme élargi vaccination
;
Programme santé
;
Economie santé
;
Appareil digestif [pathologie]
;
Foie [pathologie]
|
Résumé :
|
[BDSP. Notice produite par INIST MR0xbs9P. Diffusion soumise à autorisation]. Objectives. This study sought to compare the cost-effectiveness of a school-based hepatitis B vaceine delivery program with that of a vaceine delivery program associated with a network health maintereuce organisation (HMO). Methods, The vaccination program enrolled 3359 sixth-grade students from 18 middle schools in Denver, Colo. Immunization status and direct and indirect program costs were compiled. The sensitivity of the outcomes was assessed by simulation methods. Results. The per-dose cost-effectiveness ratio for the school-based delivery system was $31. This cost-effectiveness ratio remained stable when the model was simulated with costs that were underestimated or over-estimated by 20%. In the network HMO, the direct cost per dose was $68 and the societal cost was $118 when the child's father worked full-time and the mother worked part-time. There is less than a 5% chance that the network HMO-based vaceination program could be more school-based program. of the who HMO-based program, because in the school program government-purchased vaccine was available at a ock-loss costs.
|