Hara Yuichi
Department of Health Services Management and Policy, Kyushu University Graduate School of Medicine.
Nihon Rinsho. 2003 Nov;61(11):2013-8.
Two years ago, the Japanese government decided to partially pay the influenza vaccination cost for residents over 65 years. About 23 million people are over 65 years-old, and 8 million elderly were vaccinated in this program. Hospitals and clinics usually charge about 5,000 yen for each patient given a vaccination. Since this program pays about 80% of the charge, the government paid about 32 billion yen for this program. Few studies have been done of the economics of influenza in Japan. One study found the total cost of treating hospitalized patients and outpatients was about 489 billion yen. Another study found the hospitalization cost from influenza to be about 187,000 yen for each admission. Assuming the effect of vaccination to be 70%, hospitalization and outpatient costs would be reduced by about 45 billion yen. The hospitalization cost alone would be reduced approximately 25 billion yen. Influenza vaccination is obviously cost effective.
两年前，日本政府决定为65岁以上居民部分支付流感疫苗接种费用。65岁以上的人口约有2300万，其中800万老年人参与了该疫苗接种项目。医院和诊所通常向每位接种疫苗的患者收取约5000日元的费用。由于该项目支付约80%的费用，政府为此项目支付了约320亿日元。日本很少有关于流感经济学的研究。一项研究发现，治疗住院患者和门诊患者的总成本约为4890亿日元。另一项研究发现，每次因流感住院的费用约为18.7万日元。假设疫苗接种的效果为70%，住院和门诊费用将减少约450亿日元。仅住院费用就将减少约250亿日元。流感疫苗接种显然具有成本效益。
