The Cost of Immunising at the General Practice Level

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dc.contributor.author Turner, Nicola en
dc.contributor.author Rouse, Antony en
dc.contributor.author Airey, Stacey en
dc.contributor.author Petousis-Harris, Helen en
dc.date.accessioned 2013-09-25T23:01:17Z en
dc.date.issued 2009 en
dc.identifier.citation Journal of Primary Health Care 1(4):286-296 2009 en
dc.identifier.issn 1172-6164 en
dc.identifier.uri http://hdl.handle.net/2292/20769 en
dc.description.abstract INTRODUCTION: Childhood immunisation is one of the most cost-effective activities in health care. However, New Zealand (NZ) has failed to achieve national coverage targets. NZ general practice is the primary site of service delivery and is funded on a fee-for-service basis for delivery of immunisation events. AIM: To determine the average cost to a general practice of delivering childhood immunisation events and to develop a cost model for the typical practice. METHODS: A purposeful selection of 24 diverse practices provided data via questionnaires and a daily log over a week. Costs were modelled using activity-based costing. RESULTS: The mean time spent on an immunisation activity was 23.8 minutes, with 90.7% of all staff time provided by practice nurses. Only 2% of the total time recorded was spent on childhood immunisation opportunistic activities. Practice nurses spent 15% of their total work time on immunisation activity. The mean estimated cost per vaccination event was $25.90; however, there was considerable variability across practices. A 'typical practice' model was developed to better understand costs at different levels of activity. CONCLUSIONS: The current level of immunisation benefit subsidy is considerably lower than the cost of a standard vaccination event, although there is wide variability across practices. The costs of delivery exceeding the subsidy may be one reason why there is an apparently small amount of time spent on extra opportunistic activities and a barrier to increasing efforts to raise immunisation rates. en
dc.relation.ispartofseries Journal of Primary Health Care en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.rnzcgp.org.nz/journal-of-primary-health-care en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/ en
dc.title The Cost of Immunising at the General Practice Level en
dc.type Journal Article en
pubs.issue 4 en
pubs.begin-page 286 en
pubs.volume 1 en
dc.identifier.pmid 20690337 en
pubs.author-url http://www.ncbi.nlm.nih.gov/pubmed/20690337 en
pubs.end-page 296 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 97356 en
pubs.org-id Business and Economics en
pubs.org-id Accounting and Finance en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Gen.Practice& Primary Hlthcare en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 20690337 en


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