为K-12学校社区进行COVID-19测试的短信系统的成本效益分析
Maura Dougherty1, Yelena P Wu2,3, Leighann Kolp3
1Department of Economics, University of Utah, 260 Central Campus Drive,Gardner Commons, Room 4100, Salt Lake City, UT 84112, United States.
Journal of the Pediatric Infectious Diseases Society
|January 22, 2026
概括
将健康导航器添加到短信中显著提高了COVID-19测试,并减少了K-12学生错过的学校日. 虽然更昂贵,但这种干预措施证明比学校的流行病响应基本文本警报更有效.
科学领域:
- 公共卫生干预 公共卫生干预
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 由于COVID-19大流行,学校关闭造成了显著的学习损失,并破坏了学校资源的获取.
- 学校实施了现场和家庭COVID-19测试,以促进安全恢复面对面学习.
- 该项目旨在评估K-12 COVID-19测试中短信和健康导航的成本效益.
研究的目的:
- 量化不同短信和健康导航策略的成本效益,以促进K-12学校的COVID-19测试.
- 为了比较单向文本 (UC),密集双向文本 (ITM) 和ITM与健康导航 (ITM+HN) 的有效性.
主要方法:
- 在犹他州16所K-12学校 (2022-2023) 进行随机对照试验,有三个干预部门:UC,ITM和ITM+HN.
- 通过避免错过的上学日,避免错过的工作日和进行的COVID-19测试来衡量有效性.
- 使用决策分析模拟模型与概率灵敏度分析进行成本效益分析.
主要成果:
- 与UC (1840天,1876次测试) 相比,ITM+HN干预产生了最多的错过学校日 (8290) 和COVID-19测试 (9468) 与UC (1840天,1876次测试) 相比.
- ITM+HN更昂贵 (UC为34美元/家庭,而UC为11美元/家庭),每次测试30美元,每次错过工作日21美元.
- 与UC或ITM+HN相比,单独的强化双向短信 (ITM) 并没有显示出更好的结果.
结论:
- 将健康导航器与双向短信相集成,大大提高了基于学校的COVID-19测试的干预效率.
- 虽然ITM+HN的成本更高,但它在疾病缓解和教育连续性方面提供了巨大的好处.
- 调查结果为决策者在学校公共卫生紧急情况期间选择最佳查和沟通策略提供了关键数据.
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