基于网络的干预以改善孕妇流感疫苗接种:一个成本效益分析
Yingcheng Wang1, Ginenus Fekadu1, Joyce H S You1
1School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Pathogens and global health
|October 17, 2023
概括
一个促进孕妇流感疫苗接种的网站对美国医疗保健提供者来说是具有成本效益的. 这种干预措施减少了感染,住院和成本,同时提高了质量调整寿命年 (QALY).
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 预防医学 预防医学
背景情况:
- 母体流感疫苗接种对于保护孕妇和婴儿至关重要.
- 孕妇流感疫苗接种率较低仍然是一个公共卫生问题.
- 基于网络的干预措施显示了改善疫苗接种的潜力.
研究的目的:
- 评估基于网络的干预措施的成本效益,以促进孕妇流感疫苗接种.
- 从美国医疗保健提供者的角度评估干预对流感感染,住院,死亡率和医疗保健成本的影响.
主要方法:
- 开发了一个为期一年的决策分析模型.
- 模拟了一个假设的孕妇队列,将网站干预组与通常护理组进行比较.
- 主要结局包括流感相关事件,直接医疗费用和质量调整后生命年 (QALY) 损失.
主要成果:
- 干预组显示成本降低 (每名女性28美元),感染 (每1000人28人),住院 (1.226人/1000人) 和死亡率 (0.0036人/1000人).
- 与常规护理相比,该干预措施还节省了0.000305个QALY.
- 在99.5%的模拟中,干预措施具有成本效益,而提高疫苗接种率是关键因素.
结论:
- 基于网络的疫苗信息和社交媒体干预是提高孕产妇流感疫苗接种率的经济有效策略.
- 这种方法可以通过降低流感相关的发病率和死亡率来减少医疗保健系统的负担.
- 通过数字平台推广流感疫苗接种为医疗保健提供者提供了有价值的工具.
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