Community pharmacists as immunization advocates. Cost-effectiveness of a cue to influenza vaccination.

摘要: To assess the cost-effectiveness of a cue to influenza vaccination provided by community pharmacists, decision tree was constructed consequences implementing pharmacy-based vaccine-advocacy program, based on experience gained in an experiment involving three pharmacies Durham County, North Carolina. The model used morbidity and mortality assumptions derived from infectious-disease literature cost 1990-91 Medicare Part A B reimbursement costs. This analysis suggests that if reimbursed pharmacists for advising 100,000 patients at risk accept vaccine through messages, apparent expenditure $110,000, increased rate vaccinations would avert 139 hospitalizations 63 deaths, actually yield net savings $280,588. These calculations probably underestimate benefit society because only direct costs single government agency were computed no attributed death or lost earnings.