作者: Kevin M. Patrick
DOI: 10.1001/JAMA.1981.03310300027014
关键词:
摘要: To determine whether immunization against pneumococcal pneumonia could be justified on the basis of a favorable benefit to cost ratio, we evaluated projected impact program vaccination population health maintenance organization. Retrospective data average provider and patient costs associated with episodes were coupled forecasts likely effectiveness currently available vaccine its anticipated incidence pneumonia. We found that when provider-centered patient-centered benefits added, immunizing those traditionally considered at high risk contracting (50 years age older; patients chronic diseases heart, liver, lungs, or kidneys; diabetes mellitus) was cost-benefit basis. ( JAMA 1981;245:473-477)