Laufer F N, Chiarello L A
Bureau of Health Economics, New York State Department of Health, Albany 12237.
Am J Infect Control. 1994 Apr;22(2):75-82. doi: 10.1016/0196-6553(94)90117-1.
Data from the study of needlestick-prevention devices in 10 New York State hospitals enabled application of cost-effectiveness analysis techniques for determining relative benefits of various safety interventions. This article introduces to infection control practitioners several economic concepts related to cost-effectiveness methodology and provides two examples of how they may be applied for decision-making purposes. A critical aspect of the analysis described is the determination of a base cost of needlestick injury. By applying decision analysis to experience-based data aggregated from participating institutions, base expected cost of needlestick injury was determined to be $363.
来自纽约州10家医院的针刺预防装置研究数据，使得成本效益分析技术能够用于确定各种安全干预措施的相对益处。本文向感染控制从业者介绍了一些与成本效益方法相关的经济概念，并提供了两个关于如何将其用于决策目的的示例。所描述分析的一个关键方面是确定针刺损伤的基础成本。通过将决策分析应用于从参与机构汇总的基于经验的数据，确定针刺损伤的基础预期成本为363美元。
