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Cost Comparison Between 2 Responses to Hepatitis A Virus Incidents in Restaurant Food Handlers—New York City, 2015 and 2017

机译:2份反应对甲型肝炎的反应之间的成本比较在餐厅食品处理程序 - 纽约市,2015年和2017年

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Context: While the New York City Department of Health and Mental Hygiene (DOHMH) can use agency-wide emergency activation to respond to a hepatitis A virus–infected food handler, there is a need to identify alternative responses that conserve scarce resources. Objective: To compare the costs incurred by DOHMH of responding to a hepatitis A case in restaurant food handlers using an agency-wide emergency activation (2015) versus the cost of collaborating with a private network of urgent care clinics (2017). Design: We partially evaluate the costs incurred by DOHMH of responding to a hepatitis A case in a restaurant food handler using agency-wide emergency activation (2015) with the cost of collaborating with a private network of urgent care clinics (2017) estimated for a scenario in which DOHMH incurred the retail cost of services rendered. Results: Costs incurred by DOHMH for emergency activation were $65 831 ($238 per restaurant employee evaluated) of which DOHMH personnel services accounted for 85% ($55 854). Costs of collaboration would have totaled $50 914 ($253 per restaurant employee evaluated) of which personnel services accounted for 6% ($3146). Conclusions: Accounting for incident size, collaborating with the clinic network was more expensive than agency-wide emergency activation, though required fewer DOHMH personnel services.
机译:背景论虽然纽约市健康和精神卫生部(DOHMH)可以使用代理范围的应急激活来响应甲型肝炎病毒感染的食品处理程序,但需要确定替代响应,这些答复节省稀缺资源。目的:使用机构范围的紧急激活(2015)比较答复对甲型肝炎的案例的案例对甲型肝炎的案例进行比较与私有护理诊所专用网络(2017年)合作成本。设计:我们部分评估DOHMH对乙型肝炎的案例所产生的成本,在餐厅食品处理程序中使用代理范围的应急激活(2015),与估计的私需护理诊所(2017年)的专用网络合作成本Dohmh颁发渲染服务零售费用的情景。结果:DOHMH为紧急激活的费用为65美元831美元(每位餐厅员工238美元),其中DOHMH人员服务占85%(55 854美元)。合作成本总额为50美元914美元(每位餐厅员工253美元),其中人员服务占6%(3146美元)。结论:事件尺寸核算,与诊所网络合作比机构范围内的紧急激活更昂贵,但要求更少的DOHMH人员服务。

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