The Denver school-based adolescent hepatitis B vaccination program: a cost analysis with risk simulation.

作者: R R Deuson , E J Hoekstra , R Sedjo , G Bakker , P Melinkovich

DOI: 10.2105/AJPH.89.11.1722

关键词: Cost analysisVaccinationProgram evaluationFamily medicineDelivery systemHepatitis b vaccinationPediatricsCost–benefit analysisMedicineHepatitis B vaccineSchool based

摘要: OBJECTIVES: This study sought to compare the cost-effectiveness of a school-based hepatitis B vaccine delivery program with that associated network health maintenance organization (HMO). METHODS: The vaccination enrolled 3359 sixth-grade students from 18 middle schools in Denver, Colo. Immunization status and direct indirect costs were compiled. sensitivity outcomes was assessed by simulation methods. RESULTS: per-dose ratio for system $31. remained stable when model simulated underestimated or overestimated 20%. In HMO, cost per dose $68 societal $118 child's father worked full-time mother part-time. There is less than 5% chance HMO-based could be more cost-effective program. CONCLUSIONS: ...

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