Cost of universal influenza vaccination of children in pediatric practices

Byung Kwang Yoo, Peter G. Szilagyi, Stanley J. Schaffer, Sharon G. Humiston, Cynthia M. Rand, Christina S. Albertin, Phyllis Vincelli, Aaron K. Blumkin, Laura P. Shone, Margaret S. Coleman

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

OBJECTIVES: The goals were to estimate nationally representative pediatric practices' costs of providing influenza vaccination during the 2006 -2007 season and to simulate the costs pediatric practices might incur when implementing universal influenza vaccination for US children aged 6 months to 18 years. METHODS: We surveyed a stratified, random sample of New York State pediatric practices (N = 91) to obtain information from physicians and office managers about all practice resources associated with provision of influenza vaccination. We estimated vaccination costs for 2 practice sizes (small and large) and 3 geographic areas (urban, suburban, and rural). We adjusted these data to obtain national estimates of the total practice cost (in 2006 dollars) for providing 1 influenza vaccination to children aged 6 months to 18 years. RESULTS: Among all respondents, the median total cost per vaccination was $28.62 (interquartile range: $18.67- 45.28). The median component costs were as follows: clinical personnel labor costs, $2.01; nonclinical personnel labor costs, $7.96; all other (overhead) costs, $10.43. Vaccine purchase costs averaged $8.22. Smaller practices and urban practices had higher costs than larger or suburban practices. With the assumption of vaccine administration reimbursement for all Vaccines for Children (VFC)-eligible children at the current Medicaid median of $8.40, the financial loss across all US pediatric practices through delivery of VFC vaccines would be $98 million if one third of children received influenza vaccine. CONCLUSION: The total cost for pediatric practices to provide influenza vaccination is high, varies according to practice characteristics, and exceeds the average VFC reimbursement.

Original languageEnglish (US)
JournalPediatrics
Volume124
Issue numberSUPPL. 5
DOIs
StatePublished - 2009
Externally publishedYes

Keywords

  • Cost analysis
  • Delivery of care
  • Provider practice
  • Universal influenza vaccination
  • Vaccine

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Fingerprint Dive into the research topics of 'Cost of universal influenza vaccination of children in pediatric practices'. Together they form a unique fingerprint.

  • Cite this

    Yoo, B. K., Szilagyi, P. G., Schaffer, S. J., Humiston, S. G., Rand, C. M., Albertin, C. S., Vincelli, P., Blumkin, A. K., Shone, L. P., & Coleman, M. S. (2009). Cost of universal influenza vaccination of children in pediatric practices. Pediatrics, 124(SUPPL. 5). https://doi.org/10.1542/peds.2009-1542I