PharmacoEconomics & Outcomes News 792, p13 - 2 Dec 2017
Increased rotavirus vaccination
improves quality of care
Increased rotavirus vaccination coverage in paediatric
patients and additional hospitals beds appears to
improve quality of care (QoC) in Belgium, according to
findings of a study published in Applied Health
Economics and Health Policy.
The Cobb-Douglas model was used to estimate the
improvement in QoC as a function of increased
rotavirus vaccination coverage rate and additional
hospital beds. A budget minimization was used to
determine the combination of the two strategies needed
to reach 50% improvement in QoC improvement at the
lowest cost in the Jessa Hospital, Belgium, which has an
annual vaccination population of 7000 children, and
34 paediatric beds available during the 90-day winter
epidemic period. The cost of rotavirus vaccination was
per course, and the cost of a paediatric bed
was €436.53 per day. The perspective considered was
the healthcare payer.
The model predicted that 64% rotavirus vaccination
coverage in combination with a 39% increase in hospital
beds (13 extra beds) would improve hospital
QoC scores by 50% at a minimum total annual budget
allocation of €1 051 564. A combination of 95% vaccine
coverage and 59% extra hospital beds (20 extra beds)
would be required to achieve 75% improvement in
hospital QoC score, at an estimated minimum budget
allocation of €1 577 346.
"A production-like function model and a budget
optimization model were applied to evaluate how
treatment or prevention could improve QoC-scores in
hospital bed management. These models could become
an easy application tool to guide decision makers in their
investment decisions," said the authors.
* 2016 euros
Dort T, et al. Improving the Hospital Quality of Care during Winter Periods by
Optimizing Budget Allocation Between Rotavirus Vaccination and Bed Expansion.
Applied Health Economics and Health Policy : 20 Nov 2017. Available from:
PharmacoEconomics & Outcomes News 2 Dec 2017 No. 7921173-5503/17/0792-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved