概括
为医疗保健工作者实施乙型肝炎疫苗计划具有成本效益. 虽然初始成本较高,但乙型肝炎病毒 (HBV) 免疫策略可以长期节省资金.
科学领域:
- 职业健康 职业健康 职业健康
- 疫苗学 疫苗学 疫苗学
- 卫生经济学 卫生经济学
背景情况:
- 乙型肝炎病毒 (HBV) 对医疗保健工作者构成职业风险.
- 杜克大学医学中心每年在员工中报告大约10例HBV感染.
- 目前的肝炎控制计划每年都会产生相当大的成本.
研究的目的:
- 评估医疗中心人员HBV免疫计划的成本效益.
- 为了比较实施疫苗接种战略与维持现有控制措施的长期财务影响.
主要方法:
- 经济建模比较免疫计划和非免疫计划的成本.
- 包括工人赔偿,高免疫球蛋白,实验室测试,损失的收入和人员等成本.
- 在十年内预测累积成本.
主要成果:
- 免疫计划的第一年成本估计为206,304美元.
- 两项计划的累计成本在第七年相等.
- 到第十年,预计将大大节省成本,免疫程序的成本为746,742美元,而没有免疫程序的成本为919,950美元.
结论:
- 乙型肝炎疫苗接种是减轻医疗保健机构职业健康危害的成本效益高的策略.
- 尽管初始投资,HBV疫苗计划提供了长期的财务优势.
- 对大型医疗中心来说,投资员工免疫是一个明智的经济决定.
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