麻疹ワクチン接種が医療利用に与える影響
Fangjun Zhou1, Rafael Harpaz, Aisha O Jumaan
1National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Ga 30333, USA. faz1@cdc.gov
JAMA
|August 18, 2005
まとめ
麻疹ワクチン接種プログラムは,水の症例と医療費を大幅に削減しました. ワクチンが導入された後,すべての年齢層で,水の医療訪問と支出は劇的に減少しました.
科学分野:
- エピデミオロジー エピデミオロジー
- 公衆衛生は公衆衛生である.
- ワクチン学 ワクチン学
背景:
- 1995年,アメリカでは水ワクチンが日常免疫に推奨されました.
- 病気の発生率は減少しているが,包括的な利用データは不足している.
研究 の 目的:
- 麻疹ワクチン接種プログラムの医療訪問への影響を評価する.
- 関連する医療費を評価する.
主な方法:
- 人口をベースにした遡及的研究 (1994-2002).
- 米国の大企業のMarketScanデータベースを利用した.
- ワクチン接種前のデータをベースラインとして用いて,水関連入院,外来診察,支出を分析した.
主要な成果:
- の入院は88%減少し,外来診療は59%減少した.
- すべての年齢層で減少が観察され,特に乳児の減少が顕著でした.
- 麻疹の直接医療費の総額は74%減少した.
結論:
- 麻疹ワクチン接種プログラムは,入院や外来診察の件数を大幅に削減しました.
- 麻疹の関連医療費は全国的に劇的に減少しています.
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