Public Health Computational and Operations Research (PHICOR), University of Pittsburgh School of Medicine and Graduate School of Public Health, Pittsburgh, PA 15213, USA.
Vaccine. 2011 Mar 3;29(11):2149-58. doi: 10.1016/j.vaccine.2010.12.078. Epub 2011 Jan 6.
Although studies have suggested that a patient's perceived cost-benefit of a medical intervention could affect his or her utilization of the intervention, the economic value of influenza vaccine from the patient's perspective remains unclear. Therefore, we developed a stochastic decision analytic computer model representing an adult's decision of whether to get vaccinated. Different scenarios explored the impact of the patient being insured versus uninsured, influenza attack rate, vaccine administration costs and vaccination time costs. Results indicated that the cost of avoiding influenza was fairly low (with one driver being required vaccination time). To encourage vaccination, decision makers may want to focus on ways to reduce this time, such as vaccinating at work, churches, or other normally frequented locations.
尽管研究表明，患者对医疗干预的成本效益感知可能会影响他或她对干预措施的利用，但从患者角度来看流感疫苗的经济价值仍不清楚。因此，我们开发了一个代表成年人是否接种疫苗的决策的随机决策分析计算机模型。不同的场景探讨了患者有保险和没有保险、流感发病率、疫苗接种管理成本和接种时间成本的影响。结果表明，避免流感的成本相当低（主要是因为需要接种时间）。为了鼓励接种疫苗，决策者可能希望专注于减少接种时间的方法，例如在工作场所、教堂或其他常去的地方接种疫苗。
