New York City Department of Health and Mental Hygiene, New York, New York, USA.
Am J Public Health. 2012 Jul;102(7):1378-83. doi: 10.2105/AJPH.2011.300363. Epub 2011 Dec 15.
Objectives. We estimated and compared total costs and costs per dose administered for 2 influenza A 2009 monovalent vaccine campaigns in New York City: an elementary school-located campaign targeting enrolled children aged 4 years and older, and a community-based points-of-dispensing campaign for anyone aged 4 years and older. Methods. We determined costs from invoices or we estimated costs. We obtained vaccination data from the Citywide Immunization Registry and reports from the community points of dispensing. Results. The school campaign delivered approximately 202,089 vaccines for $17.9 million and $88 per dose. The community campaign delivered 49,986 vaccines for $7.6 million and $151 per dose. At projected capacity, the school campaign could have delivered 371,827 doses at $53 each or $13 each when we excluded the value of in-kind resources. The community points of dispensing could have administered 174,000 doses at $51 each or $24 each when we excluded the value of in-kind resources. Conclusions. The school campaign delivered vaccines at a lower cost per dose than did the community campaign. Had demand been higher, both campaigns may have delivered vaccine at lower, more comparable cost per dose.
目的。我们评估并比较了在纽约市进行的两次甲型 H1N1 流感 2009 单价疫苗活动的总费用和每剂费用：一次是针对 4 岁及以上入学者的小学定位疫苗接种活动，另一次是针对 4 岁及以上任何人的社区疫苗接种点活动。方法。我们从发票中确定了成本，或者进行了成本估算。我们从全市免疫登记处获得了疫苗接种数据，并从社区疫苗接种点获取了报告。结果。学校疫苗接种活动共接种了约 202089 剂疫苗，费用为 1790 万美元，每剂 88 美元。社区疫苗接种活动共接种了 49986 剂疫苗，费用为 760 万美元，每剂 151 美元。按预计产能，学校疫苗接种活动可提供 371827 剂疫苗，每剂 53 美元，当我们排除实物资源的价值时，每剂 13 美元。社区疫苗接种点可提供 174000 剂疫苗，每剂 51 美元，当我们排除实物资源的价值时，每剂 24 美元。结论。学校疫苗接种活动的每剂费用低于社区疫苗接种活动。如果需求更高，两个活动都可能以更低的、更可比的每剂费用提供疫苗。
