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Cost‐effectiveness analysis of (Nursery) School Absenteeism Surveillance System
Author(s) -
Kurita Junko,
Sugawara Tamie,
Matsumoto Kayo,
Ohkusa Yasushi
Publication year - 2019
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.14023
Subject(s) - medicine , absenteeism , confidence interval , cost–benefit analysis , cost effectiveness , total cost , medical costs , health care , environmental health , demography , pediatrics , risk analysis (engineering) , ecology , management , sociology , economics , biology , microeconomics , economic growth
Background Our earlier report reported that the (Nursery) School Absenteeism Surveillance System ((N)SASSy) can decrease numbers of patients. This study evaluates (N)SASSy’s cost‐effectiveness. Methods A social perspective is taken for economic evaluation. For simplicity, 8,000 yen is assumed for direct medical costs. We assume the home health care duration to be 6 days, with 30 000 yen as the indirect opportunity cost of family nursing. Benefit‐cost ratios are used as indicators of cost‐effectiveness. Results By multiplying the disease burden per patient by the reduced number of patients, the (N)SASSy effect was estimated as 206.9 billion yen, with 95% confidence interval of [67.3,346.6] billion yen. The total cost attributable to (N)SASSy throughout Japan is expected to be 2.63 billion yen. The benefit‐cost ratio is expected to be approximately 60. Conclusions The estimated benefit‐cost ratio is much higher than that for the routine immunization of children.