Cost of vaccine administration among pediatric practices

Pediatrics
Judith E GlaznerStephen Berman

Abstract

The goal was to describe variable costs to providers of delivering childhood immunizations. We documented variable costs (costs that vary with the amount of services rendered), including time spent by pediatric staff members and physicians on immunization-related activities, as well as supply costs and medical waste disposal costs. Ten private pediatric practices in the Denver, Colorado, metropolitan area participated in the study. Among the 7 practices that provided us with payment data, 8 health plans were mentioned by > or = 2 practices. There were 37 different agreements between the health plans and practices for vaccine administration payments. The total documented variable cost per injection (excluding vaccine cost) averaged $11.51, calculated from the following categories: nursing time, $1.71; billing services, $2.67; nonroutine services, $1.64; registry use, $0.96; physician time, $4.05; supplies, $0.36; medical waste disposal, $0.12. Nonroutine activities primarily included performing vaccine inventory and ordering, providing vaccination records to requesters, and answering parent telephone questions about vaccinations. With the use of a simulation model to compensate for the small number of participating practices, th...Continue Reading

References

Aug 1, 1997·Archives of Pediatrics & Adolescent Medicine·L E RodewaldR F Raubertas
Nov 11, 1999·Archives of Pediatrics & Adolescent Medicine·C W LeBaronS Humiston
May 2, 2000·American Journal of Preventive Medicine·P G SzilagyiL E Rodewald
May 9, 2000·American Journal of Public Health·P G SzilagyiL E Rodewald
Feb 13, 2003·Archives of Pediatrics & Adolescent Medicine·Peter G SzilagyiBen Schwartz
Jun 3, 2004·Pediatrics·Judith E GlaznerStephen Berman

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Citations

Nov 10, 2010·Annals of Family Medicine·Doug Campos-OutcaltHerbert F Young
Sep 7, 2011·Journal of Preventive Medicine and Public Health = Yebang Ŭihakhoe Chi·Byung Kwang Yoo
Dec 15, 2010·Current Opinion in Pediatrics·Robert A Bednarczyk, Guthrie S Birkhead
Apr 29, 2014·Academic Pediatrics·Alison W SavilleAllison Kempe
Aug 14, 2010·Pediatric Annals·Russell C Libby, Richard H Schwartz
Jun 24, 2011·Journal of the American Academy of Nurse Practitioners·Alison Fernbach
Feb 25, 2014·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Matthew F DaleyJudith C Shlay
Jul 8, 2015·The Journal of School Health·Judith C ShlayEmily V McCormick
Jun 21, 2015·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Praveen DhankharElamin H Elbasha
Jul 29, 2016·BMC Health Services Research·Fiammetta Maria BozzaniJolene Skordis-Worrall
Apr 26, 2019·Medical Care·Benjamin YarnoffCarolyn B Bridges
Dec 2, 2014·Expert Review of Vaccines·Matthew J Robbins, Sheldon H Jacobson
Jun 22, 2019·Preventive Medicine Reports·Yuping TsaiShannon Stokley
Oct 7, 2021·Human Vaccines & Immunotherapeutics·Benjamin YarnoffPhilip O Buck
Jul 16, 2019·Vaccine·Carolyn B BridgesErin D Kennedy
Oct 3, 2012·Pediatrics·Emily V McCormickJudith Shlay
Oct 20, 2010·Pediatrics·Byung-Kwang YooPeter G Szilagyi

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