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

R.R. Deuson, E.J. Hoekstra, R. Sedjo, G. Bakker, P. Melinkovich, D. Daeke, A.L. Hammer, D. Goldsman and F.N. Judson

American Journal of Public Health, 1999, vol. 89, issue 11, 1722-1727

Abstract: Objectives. This study sought to compare the cost-effectiveness of a school-based hepatitis B vaccine delivery program with that of a vaccine delivery program associated with a network health maintenance organization (HMO). Methods. The vaccination program enrolled 3359 sixth-grade students from 18 middle schools in Denver, Colo. Immunization status and direct and indirect program costs were compiled. The sensitivity of the outcomes was assessed by simulation methods. Results. The per-dose cost-effectiveness ratio for the school-based delivery system was $31. This cost effectiveness ratio remained stable when the model was simulated with costs that were underestimated or over estimated by 20%. In the network HMO, the direct cost per dose was $68 and the societal cost was $118 when the child's father worked full-time and the mother worked part-time. There is less than a 5% chance that the network HMO-based vaccination program could be more cost- effective than the school-based program. Conclusions. The cost per dose of the school-based program was significantly less than that of the network HMO- based program, because in the school program government-purchased vaccine was available at a lower cost and parents did not incur work-loss costs.

Date: 1999
References: Add references at CitEc
Citations:

There are no downloads for this item, see the EconPapers FAQ for hints about obtaining it.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:1999:89:11:1722-1727_4

Access Statistics for this article

American Journal of Public Health is currently edited by Alfredo Morabia

More articles in American Journal of Public Health from American Public Health Association
Bibliographic data for series maintained by Christopher F Baum ().