de Campora E, Pizzuti R
Area di Epidemiologia dei Servizi Sanitari, Azienda Sanitaria Locale Napoli 5, Regione Campania.
Ann Ig. 1995 Sep-Oct;7(5):329-38.
Although economic evaluation offers a relevant contribution to the health policy's choices, only few studies appeared so far on its application to the field of vaccinations. The present study compares several hypotheses of vaccination strategies in order to evaluate the opportunity to introduce a vaccination program against Haemophilus influenzae b infection. The vaccination strategies are evaluated in terms of costbenefits, cost-effectiveness and cost-utility. The results show that the highest benefits could be obtained performing mass vaccination in the age-group 0-5 years. Actually this hypothesis, compared to other, offers the best compliance and externalities; furthermore it has the highest ethical value.
尽管经济评估对卫生政策的选择有重要贡献，但迄今为止，关于其在疫苗接种领域应用的研究却很少。本研究比较了几种疫苗接种策略的假设，以评估引入针对b型流感嗜血杆菌感染的疫苗接种计划的可行性。从成本效益、成本效果和成本效用方面对疫苗接种策略进行评估。结果表明，在0至5岁年龄组进行大规模疫苗接种可获得最大效益。实际上，与其他假设相比，这一假设具有最佳的依从性和外部性；此外，它还具有最高的伦理价值。
