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Titolo:
Economic impact of an infection control education program in a specializedpreschool setting
Autore:
Ackerman, SJ; Duff, SB; Dennehy, PH; Mafilios, MS; Krilov, LR;
Indirizzi:
Covance Hlth Econ & Outcomes Serv Inc, Gaithersburg, MD 20878 USA Covance Hlth Econ & Outcomes Serv Inc Gaithersburg MD USA 20878 20878 USA Hasbro Childrens Hosp, Brown Med Sch, Div Pediat Infect Dis, Providence, RI USA Hasbro Childrens Hosp Providence RI USA t Infect Dis, Providence, RI USA Winthrop Univ Hosp, Winthrop Pediat Specialty Ctr, Mineola, NY 11501 USA Winthrop Univ Hosp Mineola NY USA 11501 cialty Ctr, Mineola, NY 11501 USA
Titolo Testata:
PEDIATRICS
fascicolo: 6, volume: 108, anno: 2001,
pagine: NIL_33 - NIL_41
SICI:
0031-4005(200112)108:6<NIL_33:EIOAIC>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
DAY-CARE-CENTERS; CHILD DAY-CARE; COST-EFFECTIVENESS; CONTROLLED TRIAL; OTITIS-MEDIA; RESPIRATORY-DISEASE; FECAL CONTAMINATION; TRACT ILLNESS; TODDLERS; ATTENDANCE;
Keywords:
infectious disease; infection control; preschool; economics;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
53
Recensione:
Indirizzi per estratti:
Indirizzo: Ackerman, SJ Covance Hlth Econ & Outcomes Serv Inc, 9801 Washingtonian Blvd,9th Floor, Gaithersburg, MD 20878 USA Covance Hlth Econ & Outcomes Serv Inc 9801 Washingtonian Blvd,9th Floor Gaithersburg MD USA 20878
Citazione:
S.J. Ackerman et al., "Economic impact of an infection control education program in a specializedpreschool setting", PEDIATRICS, 108(6), 2001, pp. NIL_33-NIL_41

Abstract

Objective. To assess the economic impact, from a societal perspective, of a multidimensional infection control education program (ICEP) in a preschool for children with Down syndrome. Methods. Krilov et al implemented a comprehensive ICEP in a specialized preschool setting and reported a significant decrease in medical resource utilization and days absent from school. Clinical and economic data from Krilov et al and other sources were incorporated into a health-state transition (Markov) decision analysis model that estimated annual expected costs for the baseline and intervention years. Procedure and diagnosis codes were assigned to all physician office visits, emergency department visits, hospitalizations, and laboratory and diagnostic tests. Cost estimates then were derived using 1999 national reimbursement schedules and other sources. Productivity losses for parents were estimated using national wage rates. The costsof the ICEP were compared with the reduction in the costs of illness (direct medical costs plus costs associated with lost parental working time). The outcomes measured were mean annual costs of illness per child, total annual ICEP costs, and net annual costs or savings. Results. With a comprehensive ICEP, the mean costs of illness in the baseline year was $1235 per child, of which 68% and 14% were for productivity losses and physician visits, respectively. In the intervention year, the meancosts of illness per child was $615, of which 71% and 20% were for productivity losses and physician visits, respectively. The cost of the preexisting infection control (IC) practices in place at the onset of the study (baseline year) was $716. The comprehensive ICEP cost (intervention year) was $75 627, 92% of which was spent to hire a cleaning service to decontaminate toys 3 times per week. When a secondary analysis was performed to reflect a less intensive ICEP in a nonspecialized preschool setting, the mean costs of illness in the baseline and intervention years were $962 and $614 per child, respectively, representing a total annual cost-of-illness savings of $13 224 for the 38 children who participated in the study by Krilov et al. The annual incremental cost of the less intensive ICEP was $2371; therefore, the estimated net annual savings of the less intensive ICEP in a nonspecialized preschool was $10 853. Conclusions. This study suggests that the reduction in the costs of illness could more than offset the cost of implementing a multidimensional ICEP in a preschool setting.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/09/20 alle ore 18:35:10