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[Efficiency of influenza vaccination in the working population in Spain].

Identifieur interne : 000583 ( Main/Exploration ); précédent : 000582; suivant : 000584

[Efficiency of influenza vaccination in the working population in Spain].

Auteurs : José Ram N De Juanes [Espagne] ; Ram N Cisterna ; Javier Sanz ; Sol Magaz ; Xavier Badia

Source :

RBID : pubmed:16753086

Descripteurs français

English descriptors

Abstract

INTRODUCTION

Influenza is a major cause of morbidity and mortality worldwide. Currently, licensed influenza vaccines are safe and effective. Any intervention aimed at reducing the burden of illness is worth analyzing from a clinical and economic perspective.

OBJECTIVE

To assess the costs and benefits of an influenza vaccination program in the Spanish working population.

METHODS

A theoretical model of costs and benefits in terms of productivity savings was developed to compare 2 strategies (vaccination and non-vaccination) in 2 cohorts of 1,000 workers each. The time horizon was 1 year and the study's perspective was societal.

MAIN OUTCOME MEASURES

epidemiological and clinical data on the incidence of influenza and the effectiveness of the vaccine. Data on the use of direct and indirect resources were obtained from an expert panel of 5 experts in preventive medicine, microbiology, occupational health, and health economics. Unit costs (euros 2003) were extracted from local databases. A sensitivity analysis was performed with the data on incidence, effectiveness, and work absenteeism due to influenza.

RESULTS

In the base case scenario, influenza vaccine saved 35 Euros per worker, of which 88% were savings in work loss days avoided. Threshold values in the sensitivity analysis were 6% for the incidence of influenza and 1.5 days for absence from work, above which the vaccine leads to net savings.

CONCLUSIONS

Influenza vaccination in the Spanish working population might result in net resource savings to society at large.


DOI: 10.1157/13087326
PubMed: 16753086


Affiliations:


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Le document en format XML

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<name sortKey="Sanz, Javier" sort="Sanz, Javier" uniqKey="Sanz J" first="Javier" last="Sanz">Javier Sanz</name>
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<name sortKey="Magaz, Sol" sort="Magaz, Sol" uniqKey="Magaz S" first="Sol" last="Magaz">Sol Magaz</name>
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<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza Vaccines (economics)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Male (MeSH)</term>
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<term>Espagne (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Grippe humaine (prévention et contrôle)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Santé au travail (MeSH)</term>
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<term>Vaccins antigrippaux (économie)</term>
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<p>
<b>INTRODUCTION</b>
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<p>Influenza is a major cause of morbidity and mortality worldwide. Currently, licensed influenza vaccines are safe and effective. Any intervention aimed at reducing the burden of illness is worth analyzing from a clinical and economic perspective.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>To assess the costs and benefits of an influenza vaccination program in the Spanish working population.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>A theoretical model of costs and benefits in terms of productivity savings was developed to compare 2 strategies (vaccination and non-vaccination) in 2 cohorts of 1,000 workers each. The time horizon was 1 year and the study's perspective was societal.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MAIN OUTCOME MEASURES</b>
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<p>epidemiological and clinical data on the incidence of influenza and the effectiveness of the vaccine. Data on the use of direct and indirect resources were obtained from an expert panel of 5 experts in preventive medicine, microbiology, occupational health, and health economics. Unit costs (euros 2003) were extracted from local databases. A sensitivity analysis was performed with the data on incidence, effectiveness, and work absenteeism due to influenza.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>In the base case scenario, influenza vaccine saved 35 Euros per worker, of which 88% were savings in work loss days avoided. Threshold values in the sensitivity analysis were 6% for the incidence of influenza and 1.5 days for absence from work, above which the vaccine leads to net savings.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Influenza vaccination in the Spanish working population might result in net resource savings to society at large.</p>
</div>
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