Abstract
The ultimate value of cost-benefit analysis lies in the potential for its use in the decision making process when one is confronted with competing strategies in the face of finite resources. In the case of nosocomial infection surveillance, the quest for ‘best’ strategy can be enhanced by cost-benefit analysis provided that the right questions are asked, valid and reliable data are generated to establish probabilities, and sensible interpretations of the data are made. Here, three groups of questions emerge: (a) given finite resources, where do we concentrate efforts ? (cost-benefit enquiry); (b) having once established the target, which method should be employed ? (cost-effectiveness, systems analysis exercise); (c) once a program has been initiated, how do we monitor its benefit relative to the input costs ? (combined cost-benefit, cost-effectiveness issue).
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References
Haley, R.W., Hooton, T.M., Culver, D.H., et al. 1981. Nosocomial Infections in U.S. Hospitals, 1975–1976. Estimated Frequency by Selected Characteristics of Patients. Am. J. Med. 70: 947.
Meers, P.D., Ayliffe, G.A.L., Emmerson, A.M., et al. 1981. Report on the National Survey of Infection in hospitals, 1980. J. hosp. Infection. 2: Supplement. 51.
Haley, R.W., Schaberg, D.R., Crossley, K.B., Von Allmen, S.A., McGowan, J.E. Jr. 1981. Extra Charges and Prolongation of Stay Attributable to Nosocomial Infections A Prospective Interhospital Comparison. Am. J. Med. 70: 51
Preventing Hospital Infections. Guidelines proposed by the Health Council of the Netherlands. Ministry of Health and Environmental Protection. 1980.
Guidelines for the Prevention and Control of Nosocomial Infections. Hospital Infections Branch. CDC. Atlanta, 1981
Haley, R.W., Culver, D.H., Emori, T.G., et al. 1981. Progress Report on the Evaluation of Efficacy of Infection Surveillance and Control Programs. Am. J. Med. 70: 971.
Haley, R.W. Presentation before the Second International Conference on Nosocomial Infections. Atlanta, Georgia, August 5–8, 1980.
Haley, R.W., Schaberg, D.R., Von Allmen, S.A., McGowan J.E. Jr. 1981. Estimating the Extra Charges andProlongation of Hospitalization Due to Nosocomial Infections: A Comparison of Methods. J. Inf. Dis. 141: 248
Schroeder, S.A., Showstack, J.A., Roberts H.E. 1979. Frequency and Clinical Description of High-cost Patients in 17 Acute-Care Hospitals. M. Eng. J. Med. 300: 1306.
Schroeder, S.A., Showtack, J.A., Roberts H.E. 1981. Survival of Adult High-Cost Patients. Report of a Follw-up StudyFrom Nine Acute-Care Hospitals. JAMA. 245: 1446.
Zook, C.D., Moore, F.D. 1980. High-Cost Users of Medical Care. N. Eng. J. Med. 302: 996.
Steel, K., Gertman, P.M., Crescenzi, C., Aderson, J. 1981. Iatrogenic Illness on a General Medical Service at a University Hospitals. N. Eng. J. Med. 304: 638
Couch, N.P., Tilney N.L., Rayner, A.A., Moore, F.D. 1981. The High Cost of Low-Frequency Ecents. The Anatomy and Economics of Surgical Mishaps. N. Eng. J. Med. 304: 634.
Dixon, R.E. 1981. Forging the missing Link in Infection Control. Am. J. Med. 70: 976.
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© 1982 Martinus Nijhoff Publishers, The Hague
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Hudson, J.I. (1982). Comments on Issues in Studying the Cost-Benefit of Hospital Infection Surveillance and Control Programs. In: Van Furth, R. (eds) Evaluation and Management of Hospital Infections. New Perspectives in Clinical Microbiology, vol 5. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-7657-3_30
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DOI: https://doi.org/10.1007/978-94-009-7657-3_30
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