About: The costs of preventing the spread of respiratory infection in family physician offices: a threshold analysis

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About: The costs of preventing the spread of respiratory infection in family physician offices: a threshold analysis Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	The costs of preventing the spread of respiratory infection in family physician offices: a threshold analysis
Creator	Zhang, Wei Hogg, William Huston, Patricia Gray, David
source	Medline; PMC
abstract	BACKGROUND: Influenza poses concerns about epidemic respiratory infection. Interventions designed to prevent the spread of respiratory infection within family physician (FP) offices could potentially have a significant positive influence on the health of Canadians. The main purpose of this paper is to estimate the explicit costs of such an intervention. METHODS: A cost analysis of a respiratory infection control was conducted. The costs were estimated from the perspective of provincial government. In addition, a threshold analysis was conducted to estimate a threshold value of the intervention's effectiveness that could generate potential savings in terms of averted health-care costs by the intervention that exceed the explicit costs. The informational requirements for these implicit costs savings are high, however. Some of these elements, such as the cost of hospitalization in the event of contacting influenza, and the number of patients passing through the physicians' office, were readily available. Other pertinent points of information, such as the proportion of infected people who require hospitalization, could be imported from the existing literature. We take an indirect approach to calculate a threshold value for the most uncertain piece of information, namely the reduction in the probability of the infection spreading as a direct result of the intervention, at which the intervention becomes worthwhile. RESULTS: The 5-week intervention costs amounted to a total of $52,810.71, or $131,094.73 prorated according to the length of the flu season, or $512,729.30 prorated for the entire calendar year. The variable costs that were incurred for this 5-week project amounted to approximately $923.16 per participating medical practice. The (fixed) training costs per practice were equivalent to $73.27 for the 5-week intervention, or $28.14 for 13-week flu season, or $7.05 for an entire one-year period. CONCLUSION: Based on our conservative estimates for the direct cost savings, there are indications that the outreach facilitation intervention program would be cost effective if it can achieve a reduction in the probability of infection on the order of 0.83 (0.77, 1.05) percentage points. A facilitation intervention initiative tailored to the environment and needs of the family medical practice and walk-in clinics is of promise for improving respiratory infection control in the physicians' offices.
has issue date	2007-11-13(xsd:dateTime)
bibo:doi	10.1186/1472-6963-7-181
bibo:pmid	17999757
has license	cc-by
sha1sum (hex)	8d355f050721e1e9d9288c7824cc38546b6ef2a6
schema:url	https://doi.org/10.1186/1472-6963-7-181
resource representing a document's title	The costs of preventing the spread of respiratory infection in family physician offices: a threshold analysis
has PubMed Central identifier	PMC2204002
has PubMed identifier	17999757
schema:publication	BMC Health Serv Res
resource representing a document's body	covid:8d355f050721e1e9d9288c7824cc38546b6ef2a6#body_text
is schema:about of	named entity 'paper' named entity 'preventing' named entity 'THRESHOLD' named entity 'HEALTH' named entity 'ABOUT' named entity 'INTERVENTIONS' named entity 'HAVE' named entity 'OFFICES' named entity 'PAPER' named entity 'FAMILY PHYSICIAN' named entity 'INFLUENZA' named entity 'SIGNIFICANT' named entity 'ESTIMATE' named entity 'INTERVENTION' named entity 'SPREAD' named entity 'PREVENTING' named entity 'FAMILY PHYSICIAN' named entity 'COSTS' named entity 'INFLUENCE' named entity 'PHYSICIAN OFFICES' named entity 'ANALYSIS' named entity 'EPIDEMIC' named entity 'TO PREVENT' named entity 'PREVENT THE SPREAD' named entity 'MAIN' named entity 'CONCERNS' named entity 'POSITIVE' named entity 'COSTS' named entity 'RESPIRATORY INFECTION' named entity 'PURPOSE' named entity 'RESPIRATORY INFECTION' covid:arg/8d355f050721e1e9d9288c7824cc38546b6ef2a6 named entity 'estimate' named entity 'Influenza' named entity 'respiratory infection' named entity 'positive' named entity 'infection' named entity 'Ottawa' named entity 'SARS' named entity 'SARS outbreak' named entity 'exchange rate' named entity 'detailed information' named entity 'emergency room' named entity 'vaccination' named entity 'contaminated areas' named entity 'obstetrics' named entity 'primary prevention' named entity 'vaccination' named entity 'emergency rooms' named entity 'illness rate' named entity 'cost estimates' named entity 'outpatient' named entity 'health-care' named entity 'influenza' named entity 'EMBASE' named entity 'prevent the spread' named entity 'cardiac care' named entity 'flu' named entity 'SARS' named entity 'influenza' named entity 'indirect costs' named entity 'Tony Clement' named entity 'discount factor' named entity 'Wei Zhang' named entity 'cost analysis' named entity 'alcohol gel' named entity 'health-care' named entity 'influenza' named entity 'probability' named entity 'probability' named entity 'influenza' named entity 'prevent the spread' named entity 'fever' named entity 'organizational behaviour' named entity 'pneumonia' named entity 'outpatient' named entity 'respiratory infection' named entity 'public health'

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