1. Cost-effectiveness analysis of behavioral interventions to improve vaccination compliance in homeless adults
- Author
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Greengold, Barbara, Nyamathi, Adeline, Kominski, Gerald, Wiley, Dorothy, Lewis, Mary Ann, Hodge, Felicia, Singer, Mendel, and Spiegel, Brennan
- Subjects
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MEDICAL care of homeless people , *BEHAVIOR therapy , *PATIENT compliance , *COST effectiveness , *HEPATITIS A vaccines , *HEPATITIS B vaccines , *MEDICAL care costs , *QUALITY of life - Abstract
Abstract: Aims: To estimate the cost-effectiveness of three behavioral interventions provided to enhance hepatitis A virus (HAV) and hepatitis B virus (HBV) joint vaccination (HAV/HBV) compliance among homeless persons living in Los Angeles County. Scope: A cost-effectiveness analysis (CEA) based on data from a randomized trial where the costs and compliance data from the trial are incorporated into two Markov models, simulating the natural history of acute and chronic hepatitis infection, following HAV/HBV vaccination. Conclusions: Reductions in HBV-related disease is cost-effective to society and is associated with substantial improvements in quality of life. [Copyright &y& Elsevier]
- Published
- 2009
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