Cost-effectiveness of hospital vaccination programs in North Carolina

被引:11
作者
Honeycutt, Amanda A.
Coleman, Margaret S.
Anderson, Wayne L.
Wirth, Kathleen E.
机构
[1] RTI Int, RTI UNC Ctr Excellence Hlth Promot Econ, Atlanta, GA USA
[2] Ctr Dis Control & Prevent, Natl Immunizat Program, Immunizar Serv Div, Atlanta, GA USA
[3] RTI Int, Aging Disabil & Long Term Care Program, Res Triangle Pk, NC USA
[4] Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA
关键词
standing orders; vaccination; cost-effective;
D O I
10.1016/j.vaccine.2006.10.029
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Although influenza and pneumonia are largely vaccine-preventable, vaccination coverage rates are well below Healthy People 2010 goals. The aim of this study was to examine the costs and cost-effectiveness of three provider-based vaccination interventions in the hospital setting: standing orders programs (SOPs), physician reminders (PRs), and pre-printed orders (PPOs). Data on program operating costs and the numbers of patients who received influenza or pneumococcal vaccinations were collected from nine North Carolina hospitals. Results demonstrated that the additional cost per patient vaccinated in 2004 was US $58 for SOPs, US $90 for PRs, and US $412 for PPOs. These findings suggest that SOPs are a cost-effective approach for increasing adult vaccination coverage rates in hospital settings. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1484 / 1496
页数:13
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