Kostnaðarvirknigreining á bólusetningu gegn pneumókokkum á Íslandi

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn Skoða/Opna(view/open) OBJECTIVE: Pneumococcus is a common cause of disease among children and the elderly. With the emergence of resistant serotypes, antibiotic treatment is getting limited. Many countries have th...

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Bibliographic Details
Main Author: Margrét Björnsdóttir
Other Authors: gretab@live.com
Format: Article in Journal/Newspaper
Language:Icelandic
Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2010
Subjects:
Online Access:http://hdl.handle.net/2336/113535
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Summary:Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn Skoða/Opna(view/open) OBJECTIVE: Pneumococcus is a common cause of disease among children and the elderly. With the emergence of resistant serotypes, antibiotic treatment is getting limited. Many countries have therefore introduced a vaccination program among children against the most common serotypes. The aim of this study was to analyse cost-effectiveness of adding a vaccination program against pneumococcus in Iceland. MATERIAL AND METHODS: A cost-effectiveness analysis was carried out from a societal perspective where the cost-effectiveness ratio ICER was estimated from the cost of each additional life and life year saved. The analyse was based on the year 2008 and all cost were calculated accordingly. The rate of 3% was used for net present-value calculation. RESULTS: Annual societal cost due to pneumococcus in Iceland was estimated to be 718.146.252 ISK if children would be vaccinated but 565.026.552 ISK if they would not be vaccinated. The additional cost due to the vaccination program was therefore 153.119.700 ISK . The vaccination program could save 0,669 lives among children aged 0-4 years old and 21.11 life years. The cost was 228.878.476 ISK for each additional life saved and 7.253.420 ISK for each additional life year saved. CONCLUSION: Given initial assumptions the results indicate that a vaccination programme against pneumococcal disease in Iceland would be cost effective. Tilgangur: Pneumókokkasýkingar eru algengar meðal barna og roskinna einstaklinga. Með tilkomu ónæmra stofna er árangur sýklalyfjameðferðar orðinn takmarkaður. Af þeim sökum er víða erlendis farið að bólusetja börn gegn algengustu hjúpgerðum pneumókokka. Tilgangur verkefnisins var að meta hvort hagkvæmt væri að taka upp bólusetningu gegn pneumókokkum á Íslandi. Efniviður og aðferðir: Kostnaðarvirknigreining var gerð út frá samfélagslegu sjónarhorni þar sem kostnaðarvirknihlutfallið ICER var metið út frá kostnaði á hvert viðbótarlíf og ...