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Planning influenza vaccination programs: a cost benefit model
Ian G Duncan1, Michael S Taitel, Junjie Zhang
1Clinical Outcomes & Analytic Services, Walgreens Co,, 1415 Lake Cook Rd,, MS L444, Deerfield, IL, 60015, USA. michael.taitel@walgreens.com.
Annual influenza vaccination programs offer cost benefits for employers and society. Targeted strategies, like vaccinating seniors or those with comorbidities, maximize cost-effectiveness and improve immunization program impact.
Area of Science:
- Public Health
- Health Economics
- Epidemiology
Background:
- Influenza vaccination rates in the U.S. remain below recommended levels, despite its potential to reduce economic and humanistic burdens.
- Concerns persist regarding the cost-effectiveness of current immunization programs.
Purpose of the Study:
- To compare the cost benefits of various influenza immunization strategies.
- To analyze these strategies from employer, employee, and societal perspectives.
Main Methods:
- An actuarial model was developed using published literature to estimate costs and benefits.
- The model allowed customization by population age, risk level, pandemic risk, and projection year.
- Strategies were modeled for 15,000 individuals vaccinated in pharmacies or doctor's offices during the 2011/12 season.
Main Results:
- Influenza immunization programs are cost-beneficial for employers when over 37% of vaccinations occur in pharmacies.
- A baseline scenario (50% pharmacy vaccination) yielded net savings of $6 per vaccinated individual.
- Targeted programs for high-risk individuals ($83 PV) or seniors ($107 PV) demonstrated increased cost benefits.
Conclusions:
- Both universal and targeted influenza vaccination programs can be cost-beneficial.
- Utilizing cost models aids employers and policymakers in optimizing immunization program strategies and impact.
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