Carter Consulting, Inc, Atlanta, Georgia, USA.
J Public Health Manag Pract. 2011 Jan-Feb;17(1):E22-8. doi: 10.1097/PHH.0b013e3181f87952.
This article uses the 2009 H1N1 influenza vaccination program experience to introduce a cost analysis approach that may be relevant for planning mass prophylaxis operations, such as vaccination clinics at public health centers, work sites, schools, or pharmacy-based clinics. These costs are important for planning mass influenza vaccination activities and are relevant for all public health emergency preparedness scenarios requiring countermeasure dispensing. We demonstrate how costs vary depending on accounting perspective, staffing composition, and other factors. We also describe a mass vaccination clinic budgeting tool that clinic managers may use to estimate clinic costs and to examine how costs vary depending on the availability of volunteers or donated supplies and on the number of patients vaccinated per hour. Results from pilot tests with school-based H1N1 influenza vaccination clinic managers are described. The tool can also contribute to planning efforts for universal seasonal influenza vaccination.
本文以 2009 年 H1N1 流感疫苗接种计划的经验为基础，介绍了一种成本分析方法，该方法可能与规划大规模预防措施行动（如公共卫生中心、工作场所、学校或基于药房的诊所的疫苗接种诊所）相关。这些成本对于规划大规模流感疫苗接种活动很重要，并且与所有需要分发对策的公共卫生应急准备情况都相关。我们展示了成本如何根据核算视角、人员配备组成和其他因素而变化。我们还描述了一种大规模疫苗接种诊所预算编制工具，诊所管理者可以使用该工具来估算诊所成本，并研究志愿者或捐赠物资的可用性以及每小时接种的患者人数如何影响成本。还介绍了针对基于学校的 H1N1 流感疫苗接种诊所管理者进行的试点测试的结果。该工具还可以为普及季节性流感疫苗接种的规划工作做出贡献。
