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Vaccines for the 21st Century: A Tool for Decisionmaking
For all conditions, the committee estimated cost of care on the basis of national data. For inpatient hospitalizations, hospital costs were estimated by using average national diagnosis-related group payments by the Health Care Financing Administration (HCFA) (St. Anthony’s DRG Guidebook, 1995). Outpatient costs and inpatient physician visits were also estimated from HCFA data (HCFA, 1995). For these costs, the committee estimated general categories of costs (outpatient physician visit with and without tests, etc.) and applied these to the morbidity scenarios. See Box 4–5 for examples of unit costs.
Vaccine Efficacy and Utilization
An additional component of the committee’s analysis took into account assumptions about the efficacy of each vaccine under study and the extent to which the target population would use the vaccine. An efficacy or utilization
BOX 4–5 Examples of Health Care Cost Estimates Used