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首页> 外文期刊>Vaccine >Costs of, and reimbursement for, vaccines: A case study at the Board of Health Refugee Services in DeKalb county, Georgia
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Costs of, and reimbursement for, vaccines: A case study at the Board of Health Refugee Services in DeKalb county, Georgia

机译：疫苗的费用和补偿：佐治亚州迪卡尔布县卫生难民服务委员会的案例研究

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Background: Approximately 70,000 refugees are resettled to the United States each year. Providing vaccination to arriving refugees is important to both reduce the health-related barriers to successful resettlement, and protect the health of communities where refugees resettle. It is crucial to understand the process and resources expended at the state/local and federal government levels to provide vaccinations to refugees resettling to the United States. Objectives: We estimated costs associated with delivering vaccines to refugees at the Board of Health Refugee Services, DeKalb county, Georgia (DeKalb clinic). Methods: Vaccination costs were estimated from two perspectives: the federal government and the DeKalb clinic. Data were collected at the DeKalb clinic regarding resources used for vaccination: staff numbers and roles; type and number of vaccine doses administered; and number of patients. Clinic costs included labor and facility-related overhead. The federal government incurred costs for vaccine purchases and reimbursements for vaccine administration. Results: The DeKalb clinic average cost to administer the first dose of vaccine was $12.70, which is lower than Georgia Medicaid reimbursement ($14.81), but higher than the State of Georgia Refugee Health Program reimbursement ($8.00). Federal government incurred per-dose costs for vaccine products and administrative reimbursement were $42.45 (adults) and $46.74 (children). Conclusions: The total costs to the DeKalb clinic for administering vaccines to refugees are covered, but with little surplus. Because the DeKalb clinic 'breaks even,' it is likely they will continue to vaccinate refugees as recommended by the Centers for Disease Control and Prevention and the Advisory Committee on Immunization Practices
机译：背景：每年大约有70,000难民重新安置到美国。为到达的难民提供疫苗接种对于减少与健康有关的成功重新安置的障碍以及保护难民重新安置的社区的健康都非常重要。了解州/地方和联邦政府各级为向美国定居的难民提供疫苗接种的过程和资源至关重要。目标：我们估算了佐治亚州迪卡尔布县卫生难民服务委员会向难民运送疫苗的相关费用（迪卡尔布诊所）。方法：疫苗接种费用从两个角度估算：联邦政府和DeKalb诊所。在DeKalb诊所收集了有关疫苗接种资源的数据：员工人数和角色;接种疫苗的类型和数量;和患者人数。临床费用包括人工和与设施有关的间接费用。联邦政府支付了疫苗购买和疫苗管理补偿费用。结果：迪卡尔布诊所的第一剂疫苗平均费用为$ 12.70，低于佐治亚州医疗补助金（$ 14.81），但高于佐治亚州难民健康计划的费用（$ 8.00）。联邦政府为疫苗产品和行政费用支付的每剂费用分别为42.45美元（成人）和46.74美元（儿童）。结论：迪卡尔布诊所为难民提供疫苗的总费用已包括在内，但几乎没有剩余。由于迪卡尔布诊所“收支平衡”，他们很可能会继续按照疾病控制与预防中心和免疫实践咨询委员会的建议为难民接种疫苗

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