The Cost-Effectiveness of Hepatitis C Virus Screening Strategies among Recently Arrived Migrants in the Netherlands

Mohamed N.M.T. Al Khayat, Job F.H. Eijsink, Maarten J. Postma, Jan C. Wilschut and Marinus van Hulst
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Mohamed N.M.T. Al Khayat: Department of Health Sciences, University of Groningen, University Medical Center Groningen, 9712 CP Groningen, The Netherlands
Job F.H. Eijsink: Department of Health Sciences, University of Groningen, University Medical Center Groningen, 9712 CP Groningen, The Netherlands
Maarten J. Postma: Department of Health Sciences, University of Groningen, University Medical Center Groningen, 9712 CP Groningen, The Netherlands
Jan C. Wilschut: Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, 9712 CP Groningen, The Netherlands
Marinus van Hulst: Department of Health Sciences, University of Groningen, University Medical Center Groningen, 9712 CP Groningen, The Netherlands

IJERPH, 2020, vol. 17, issue 17, 1-13

Abstract: Objective: We aimed to assess the cost-effectiveness of hepatitis C virus (HCV) screening strategies among recently arrived migrants in the Netherlands. Methods: A Markov model was used to estimate the health effects and costs of HCV screening from the healthcare perspective. A cohort of 50,000 recently arrived migrants was used. In this cohort, three HCV screening strategies were evaluated: (i) no screening, (ii) screening of migrants from HCV-endemic countries and (iii) screening of all migrants. Results: Strategy (ii) screening of migrants from HCV-endemic countries compared to strategy (i) no screening, yielded an incremental cost-effectiveness ratio (ICER) of €971 per quality-adjusted life-years (QALYs) gained. Strategy (iii) screening of all migrants compared with strategy (ii) screening of migrants from HCV-endemic countries yielded an ICER of €1005 per QALY gained. The budget impact of strategy (ii) screening of migrants from HCV-endemic countries and strategy (iii) screening of all migrants was €13,752,039 and €20,786,683, respectively. Conclusion: HCV screening is cost-effective. However, the budget impact may have a strong influence on decision making.

Keywords: hepatitis C; screening; migrants; cost-effectiveness; budget impact (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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