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  1. Variation in patient charges for vaccines and well-child care.

    Article - En anglais

    Background 

    Several state and federal programs have attempted to boost immunization rates by reducing or eliminating provider vaccine costs.

    The relation between patient vaccine and well-child visit charges and vaccine financing systems is unknown.

    Objectives 

    To determine patient charges for vaccines and well-child visits in three states with varying vaccine financing systems and to examine the effects of a short-term reduction in provider vaccine costs.

    Design 

    Cross-sectional survey study of a random sample of physicians in three states.

    Participants 

    A total of 2797 pediatricians and family physicians in North Carolina, Texas, and Massachusetts were surveyed.

    Main outcome Measures 

    Current charges to patients for diphtheria-tetanus-pertussis vaccine (DTP), measles-mumps-rubella vaccine, Haemophilus influenzae type b vaccine (Hib), and combined DTP-Hib vaccine and for well-child visits ; changes in charges over the previous 8 months.

    Results 

    Response rate was 62%. Vaccine and well-child visit charges were comparable in North Carolina and Texas.

    Massachusetts'average charges for well-child visits were higher than in the other states, although vaccine charges were lower ; with the use of combined DTP-Hib vaccine, total simulated charges for vaccines and well-child care during the first 6 months of life averaged only 10% less in Massachusetts vs Texas and North Carolina.

    Neither regional variation in cost of living nor Medicaid reimbursement rates e...

    Mots-clés Pascal : Système, Financement, Vaccin, Coût, Charge, Malade, Médecin, Soin, Caroline du Nord, Prévention, Analyse coût efficacité, Enfant, Massachusetts, Texas, Etats Unis, Amérique du Nord, Amérique, Homme

    Mots-clés Pascal anglais : System, Financing, Vaccine, Costs, Load, Patient, Physician, Care, North Carolina, Prevention, Cost efficiency analysis, Child, Massachusetts, Texas, United States, North America, America, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0215598

    Code Inist : 002B30A03B. Création : 199608.