APPLICATION OF COST-EFFECTIVENESS METHODOLOGY TO THE CONSIDERATION OF NEEDLESTICK-PREVENTION TECHNOLOGY

被引:22
作者
LAUFER, FN
CHIARELLO, LA
机构
[1] Bureau of Health Economics, New York State Department of Health, Albany, NY
[2] Bureau of AIDS Institute, New York State Department of Health, Albany, NY
关键词
D O I
10.1016/0196-6553(94)90117-1
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Data from the study of needlestick-prevention devices in 10 New York State hospitals enabled application of cost-effectiveness analysis techniques for determining relative benefits of various safety interventions. This article introduces to infection control practitioners several economic concepts related to cost-effectiveness methodology and provides two examples of how they may be applied for decision-making purposes. A critical aspect of the analysis described is the determination of a base cost of needlestick injury. By applying decision analysis to experience-based data aggregated from participating institutions, base expected cost of needlestick injury was determined to be $363.
引用
收藏
页码:75 / 82
页数:8
相关论文
共 18 条
[1]  
Jagger, Preventing HIV transmission in health care workders with safer needle devices, Proceedings and abstracts of the Sixth International Conference on AIDS, (1990)
[2]  
Bell, Statement before the Subcommitte on Regulation, Busines Opportunities, and Energy, (1992)
[3]  
Centers for Disease Control, Recommendations for preventing transmission of infection with human T-lymphotropic virus type III/lymphadenopathy—associated virus in the workplace, MMWR, 34, pp. 681-686, (1985)
[4]  
Centers for Disease Control, Recommendations for preventing transmission of infection with human T-lymphotropic virus type III/lymphadenopathy—associated virus in the workplace, MMWR, 34, pp. 691-695, (1985)
[5]  
Marcus, Surveilance of health care workers exposed to blood from patients infected with the human immunodeficiency virus, N Engl J Med, 319, pp. 1118-1123, (1988)
[6]  
Chiarello, Nagin, Laufer, Report to the legislature: pilot study of needlestick prevention devices, (1992)
[7]  
Drummond, Stoddart, Torrance, Methods for the economic evaluation of health care programs, (1987)
[8]  
Weinstein, Stason, Foundations of Cost-Effectiveness Analysis for Health and Medical Practices, New England Journal of Medicine, 296, pp. 716-721, (1979)
[9]  
Eisenberg, Clinical economics: a guide to the economic analysis for clinical practices, JAMA, 262, pp. 2879-2897, (1989)
[10]  
Ruben, Norden, Rockwell, Hruska, Epidemiologyof accidental needle-puncture wounds in hospital workers, Am J Med Sci, 286, pp. 26-30, (1983)