From the patient perspective: The economic value of seasonal and H1N1 influenza vaccination

From the patient perspective: The economic value of seasonal and H1N1 influenza vaccination
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DOI:
10.1016/j.vaccine.2010.12.078
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发表时间:
2011-03-03
期刊:
影响因子:
5.5
通讯作者:
Zimmerman, Richard K.
Zimmerman, Richard K.
中科院分区:
医学3区
文献类型:
--
作者:
Lee, Bruce Y.;Bacon, Kristina M.;Zimmerman, Richard K.

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虽然研究表明,患者对医疗干预的成本效益感知可能会影响他或她对干预的利用,但从患者的角度来看,流感疫苗的经济价值仍不清楚。因此,我们开发了一个随机决策分析计算机模型,代表一个成年人的决定是否接种疫苗。不同的方案探讨了有保险的病人与无保险的病人、流感发病率、疫苗接种费用和疫苗接种时间成本的影响。结果表明,避免流感的成本相当低(一名司机需要接种疫苗的时间)。为了鼓励接种疫苗,决策者可能希望专注于减少这一时间的方法,例如在工作场所,教堂或其他通常经常光顾的地点接种疫苗。(C)2010爱思唯尔有限公司版权所有。
Although studies have suggested that a patient's perceived cost-benefit of a medical intervention could affect his or her utilization of the intervention, the economic value of influenza vaccine from the patient's perspective remains unclear. Therefore, we developed a stochastic decision analytic computer model representing an adult's decision of whether to get vaccinated. Different scenarios explored the impact of the patient being insured versus uninsured, influenza attack rate, vaccine administration costs and vaccination time costs. Results indicated that the cost of avoiding influenza was fairly low (with one driver being required vaccination time). To encourage vaccination, decision makers may want to focus on ways to reduce this time, such as vaccinating at work, churches, or other normally frequented locations. (C) 2010 Elsevier Ltd. All rights reserved.