Future strategic plan for national immunisation program in Iran: cost effectiveness of acellular pertussis versus whole-cell

Q3 Business, Management and Accounting

International Journal of Foresight and Innovation Policy Pub Date : 2018-10-27 DOI:10.1504/IJFIP.2018.095865

Roxana Mansour-Ghanaei, M. Moradi-Lakeh, A. Karimi, M. Yaghoubi, A. Amiraslany, Amarjit Gill, S. Zahraei

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引用次数: 2

Abstract

We investigated the new strategic plan of immunisation against whooping cough by conducting cost effectiveness analysis of acellular whooping cough vaccination compared with whole-cell vaccination, a current strategy used in the Iranian national immunisation program. We used a decision tree model together with sensitivity analysis to find the results. The findings of this study suggest that the implementation of acellular immunisation program for children and acellular immunisation program for high-risk groups are the most cost-effective strategies in Iran by US$12,691 incremental cost per disability adjusted life years averted. The results also suggest that acellular vaccine for children is cost-effective scenario in Iran when resulting from whole-cell vaccine associated side-effects is accounted. This study contributes to the literature on the factors that decrease healthcare sector costs. The study also provides critical policy recommendations for the decision makers in the healthcare sector. The findings may be useful for decision makers in the healthcare sectors and the government of Iran.

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伊朗国家免疫规划的未来战略计划:无细胞百日咳与全细胞百日咳的成本效益

我们通过对无细胞百日咳疫苗接种与全细胞疫苗接种(伊朗国家免疫规划中目前使用的一种策略)进行成本效益分析，对百日咳免疫接种的新战略计划进行了调查。我们使用决策树模型和敏感性分析来找到结果。这项研究的结果表明，在伊朗实施儿童非细胞免疫规划和高危人群非细胞免疫规划是最具成本效益的策略，每避免残疾调整生命年的增量成本为12,691美元。研究结果还表明，如果考虑到全细胞疫苗相关的副作用，儿童无细胞疫苗在伊朗是一种具有成本效益的方案。本研究有助于文献的因素，降低医疗保健部门的成本。该研究还为医疗保健部门的决策者提供了重要的政策建议。这些发现可能对医疗保健部门和伊朗政府的决策者有用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Foresight and Innovation Policy Business, Management and Accounting-Management of Technology and Innovation

CiteScore

2.10

自引率

0.00%

发文量

期刊介绍： The IJFIP has been established as a peer reviewed, international authoritative reference in the field. It publishes high calibre academic articles dealing with knowledge creation, diffusion and utilisation in innovation policy. The journal thus covers all types of Strategic Intelligence (SI). SI is defined as the set of actions that search, process, diffuse and protect information in order to make it available to the right person at the right time in order to make the right decision. Examples of SI in the domain of innovation include Foresight, Forecasting, Delphi studies, Technology Assessment, Benchmarking, R&D evaluation and Technology Roadmapping.