Division of Adolescent and School Health, 1242Centers for Disease Control and Prevention, Atlanta, GA, USA.
Program and Performance Improvement Office, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, 1242Centers for Disease Control and Prevention, Atlanta, GA, USA.
J Sch Nurs. 2021 Jun;37(3):195-201. doi: 10.1177/1059840519890026. Epub 2019 Dec 1.
During the 2015-2016 school year, the Florida Department of Health in Duval County hosted Teen Health Centers (TeenHC) at five high schools of Jacksonville providing HIV/STD screening and pregnancy testing. The purpose of this study was to assess the cost-effectiveness of the TeenHC chlamydia screening program and determine at what student participation level, the program can be cost-effective. We assessed the costs and effectiveness of the chlamydia screening program compared with "no TeenHC". Cost-effectiveness was measured as cost per quality-adjusted life years (QALY) gained. At a program cost of US$61,001 and 3% participation rate, the cost/QALY gained was $124,328 in the base-case analysis and $81,014-$264,271 in 95% of the simulation trials, all greater than the frequently citied $50,000/QALY benchmark. The cost/QALY gained could be <$50,000/QALY if student participation rate was >7%. The TeenHC chlamydia screening has the potential to be cost-effective. Future program efforts should focus on improving student participation.
在 2015-2016 学年，佛罗里达州杜瓦尔县卫生局在杰克逊维尔的五所高中设立了青少年健康中心（TeenHC），提供艾滋病毒/性病筛查和妊娠测试。本研究旨在评估 TeenHC 衣原体筛查计划的成本效益，并确定在何种学生参与水平下，该计划具有成本效益。我们评估了衣原体筛查计划与“无 TeenHC”相比的成本和效果。成本效益以每获得一个质量调整生命年（QALY）的成本来衡量。在方案成本为 61001 美元，参与率为 3%的情况下，基础分析中每获得一个 QALY 的成本为 124328 美元，在 95%的模拟试验中为 81014-264271 美元，均高于经常引用的 50000 美元/QALY 基准。如果学生参与率超过 7%，则每获得一个 QALY 的成本可能低于 50000 美元/QALY。TeenHC 衣原体筛查具有成本效益的潜力。未来的项目应侧重于提高学生参与度。
