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Table A16–3 Health Care Costs Associated with TB Infection

 

% with Care

Cost per Unit

Units per Case

Form of Treatment

Asymptomatic—suspect

 

treated (detected in screening, etc.)

 

suspect cases: 3 months treatment until culture results available

100%

$50

2.0

physician a

 

100%

$25

3.0

nurse visit

100%

$50

1.0

diagnostic a

100%

$50

3.0

medication b

Asymptomatic—latent

 

treated (detected in screening, etc.)

75%

$50

3.0

physician a

preventive treatment for latent infection: 6 months

75%

$25

6.0

nurse visit

estimated 60% complete treatment; rest complete half of treatment

100%

$50

1.0

diagnostic a

 

60%

$50

6.0

medication b: completes course

40%

$50

3.0

medication b: completes half course

Pulmonary TB

 

inpatient

100%

$6,000

1.0

hospitalization

 

100%

$100

3.0

physician b

100%

$50

1.0

diagnostic a

25%

$500

1.0

diagnostic c

Pulmonary TB

 

outpatient

100%

$50

9.0

physician a

 

100%

$50

9.0

diagnostic a

100%

$50

9.0

medication b

Extrapulmonary TB

 

inpatient

100%

$6,000

1.0

hospitalization

 

100%

$100

3.0

physician b

100%

$50

1.0

diagnostic b

25%

$500

1.0

diagnostic c

Extrapulmonary TB

 

outpatient

100%

$50

9.0

physician a

 

100%

$50

9.0

diagnostic a

100%

$50

9.0

medication b

If a vaccine program for TB were implemented today and the vaccine was 100% efficacious and utilized by 100% of the target population, the annualized present value of the health care costs saved would be $100 million. Using committee assumptions of less-than-ideal efficacy and utilization and including time



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