Verughese Jacob1, Sajal K Chattopadhyay2, David P Hopkins2, Jennifer Murphy Morgan2, Adesola A Pitan2, John M Clymer3. 1. Community Guide Branch, Division of Public Health Information Dissemination, Center for Surveillance, Epidemiology, and Laboratory Services, CDC, Atlanta, Georgia. Electronic address: hir0@cdc.gov. 2. Community Guide Branch, Division of Public Health Information Dissemination, Center for Surveillance, Epidemiology, and Laboratory Services, CDC, Atlanta, Georgia. 3. National Forum for Heart Disease and Stroke Prevention, Washington, District of Columbia.
Abstract
CONTEXT: Population-level coverage for immunization against many vaccine-preventable diseases remains below optimal rates in the U.S. The Community Preventive Services Task Force recently recommended several interventions to increase vaccination coverage based on systematic reviews of the evaluation literature. The present study provides the economic results from those reviews. EVIDENCE ACQUISITION: A systematic review was conducted (search period, January 1980 through February 2012) to identify economic evaluations of 12 interventions recommended by the Task Force. Evidence was drawn from included studies; estimates were constructed for the population reach of each strategy, cost of implementation, and cost per additional vaccinated person because of the intervention. Analyses were conducted in 2014. EVIDENCE SYNTHESIS: Reminder systems, whether for clients or providers, were among the lowest-cost strategies to implement and the most cost effective in terms of additional people vaccinated. Strategies involving home visits and combination strategies in community settings were both costly and less cost effective. Strategies based in settings such as schools and MCOs that reached the target population achieved additional vaccinations in the middle range of cost effectiveness. CONCLUSIONS: The interventions recommended by the Task Force differed in reach, cost, and cost effectiveness. This systematic review presents the economic information for 12 effective strategies to increase vaccination coverage that can guide implementers in their choice of interventions to fit their local needs, available resources, and budget. Published by Elsevier Inc.
CONTEXT: Population-level coverage for immunization against many vaccine-preventable diseases remains below optimal rates in the U.S. The Community Preventive Services Task Force recently recommended several interventions to increase vaccination coverage based on systematic reviews of the evaluation literature. The present study provides the economic results from those reviews. EVIDENCE ACQUISITION: A systematic review was conducted (search period, January 1980 through February 2012) to identify economic evaluations of 12 interventions recommended by the Task Force. Evidence was drawn from included studies; estimates were constructed for the population reach of each strategy, cost of implementation, and cost per additional vaccinated person because of the intervention. Analyses were conducted in 2014. EVIDENCE SYNTHESIS: Reminder systems, whether for clients or providers, were among the lowest-cost strategies to implement and the most cost effective in terms of additional people vaccinated. Strategies involving home visits and combination strategies in community settings were both costly and less cost effective. Strategies based in settings such as schools and MCOs that reached the target population achieved additional vaccinations in the middle range of cost effectiveness. CONCLUSIONS: The interventions recommended by the Task Force differed in reach, cost, and cost effectiveness. This systematic review presents the economic information for 12 effective strategies to increase vaccination coverage that can guide implementers in their choice of interventions to fit their local needs, available resources, and budget. Published by Elsevier Inc.
Authors: Fangjun Zhou; Abigail Shefer; Jay Wenger; Mark Messonnier; Li Yan Wang; Adriana Lopez; Matthew Moore; Trudy V Murphy; Margaret Cortese; Lance Rodewald Journal: Pediatrics Date: 2014-03-03 Impact factor: 7.124
Authors: Nabil J Awadalla; Hassan Mohammed Al-Musa; Khalid Mohammed Al-Musa; Abdulmajeed Mohammed Asiri; Ahmed Ali Albariqi; Hussam Mohammed Majrashi; Ahmed Ali Alasim; Abdulrahman Saeed Almuslah; Turki Khalid Alshehri; Mohammed Ali AlFlan; Ahmed A Mahfouz Journal: Hum Vaccin Immunother Date: 2019-10-07 Impact factor: 3.452
Authors: Jennifer C Spencer; Noel T Brewer; Justin G Trogdon; Morris Weinberger; Tamera Coyne-Beasley; Stephanie B Wheeler Journal: Pediatrics Date: 2020-11-16 Impact factor: 7.124
Authors: Andres Chang; Jackelyn B Payne; Pamela B Allen; Jean L Koff; Rafi Ahmed; Christopher R Flowers; Robert A Bednarczyk Journal: Clin Lymphoma Myeloma Leuk Date: 2019-01-02
Authors: William A Calo; Melissa B Gilkey; Jennifer Leeman; Jennifer Heisler-MacKinnon; Chrystal Averette; Stephanie Sanchez; Melanie L Kornides; Noel T Brewer Journal: Transl Behav Med Date: 2019-01-01 Impact factor: 3.046
Authors: Madhura S Rane; Libby C Page; Emma McVeigh; Kaetlin Miller; David Baure; M Elizabeth Halloran; Jeffrey S Duchin Journal: Vaccine Date: 2021-02-25 Impact factor: 3.641
Authors: Lea E Widdice; Rebecca Hoagland; S Todd Callahan; Jessica A Kahn; Christopher J Harrison; Barbara A Pahud; Sharon E Frey; Andrea A Berry; Karen L Kotloff; Kathryn M Edwards; Mark J Mulligan; Jon Sudman; Aya Nakamura; David I Bernstein Journal: Vaccine Date: 2018-02-07 Impact factor: 4.169