Immunization registries: costs and savings.

OBJECTIVES: The objectives of this study were to quantify the actual costs of developing, maintaining, and operating the Boston Immunization Information System (BIIS), an electronic registry and tracking system, and to compare the registry's costs with those of performing the same functions manually...

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Publicado en:Public Health Reports Vol. 117; no. 4; pp. 386 - 393
Autores principales: McKenna VB, Sager A, Gunn JE, Tormey P, Barry MA
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Jul/Aug2002
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2002
      vid: 117
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1016/s0033-3549(04)50176-0
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        atl: Immunization registries: costs and savings.
      aug:
        au:
          McKenna VB
          Sager A
          Gunn JE
          Tormey P
          Barry MA
        affil: Boston Public Health Commission, Communicable Disease Control Program, Boston, MA
      sug:
        subj:
          Immunization Programs Economics
          Clinical Data Repository Economics
          Information Management Methods
          Immunization Programs Administration
          Massachusetts
          Information Systems
          Database Management Software
          Health Promotion In Infancy and Childhood
          Record Review
          Costs and Cost Analysis
          Interviews
          Observational Methods
          Time Factors
          Cost Savings
          Program Evaluation
          Evaluation Research
          Child
          Child, Preschool
          Funding Source
          Human
          Child: 6-12 years
          Child, Preschool: 2-5 years
      ab: OBJECTIVES: The objectives of this study were to quantify the actual costs of developing, maintaining, and operating the Boston Immunization Information System (BIIS), an electronic registry and tracking system, and to compare the registry's costs with those of performing the same functions manually. METHODS: Cost data were obtained from 23 BIIS health care sites, the city health department, and 13 control sites. Actual costs of developing and operating BIIS in 1998 and projected 1999 costs for a hypothetical expanded registry were measured. Total costs of registry-supported immunization activities were compared with the costs of similar types and volumes of manual activities. RESULTS: The total annual cost of developing, maintaining, and operating BIIS in 1998 was $345,556. Annual total cost per record was $5.45 for all children aged <23 years and $10 when costs were distributed only among active users (children <8 years old). Operating BIIS saved $26,768 in 1998, compared with manual performance. The hypothetical projected total cost of an expanded BIIS in 1999 would have been $577,919, with a projected savings of $689,403 compared with manual costs. CONCLUSIONS: Electronic immunization registries potentially offer an efficient tool for the delivery of immunization services. Registries can save substantial funds if their data are kept up-to-date, and if caregivers are willing and able to use the registries routinely.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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