| Models of community-based hepatitis B surface antigen screening programs in the U.S. and their estimated outcomes and costs. | |
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MedLine Citation:
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PMID: 21800750 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVES: Information on the process and method of service delivery is sparse for hepatitis B surface antigen (HBsAg) testing, and no systematic study has evaluated the relative effectiveness or cost-effectiveness of different HBsAg screening models. To address this need, we compared five specific community-based screening programs. METHODS: We funded five HBsAg screening programs to collect information on their design, costs, and outcomes of participants during a six-month observation period. We categorized programs into four types of models. For each model, we calculated the number screened, the number screened as per Centers for Disease Control and Prevention (CDC) recommendations, and the cost per screening. RESULTS: The models varied by cost per person screened and total number of people screened, but they did not differ meaningfully in the proportion of people screened following CDC recommendations, the proportion of those screened who tested positive, or the proportion of those who newly tested positive. CONCLUSIONS: Integrating screening into outpatient service settings is the most cost-effective method but may not reach all people needing to be screened. Future research should examine cost-effective methods that expand the reach of screening into communities in outpatient settings. |
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Authors:
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David B Rein; Sarah B Lesesne; Bryce D Smith; Cindy M Weinbaum |
Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Public health reports (Washington, D.C. : 1974) Volume: 126 ISSN: 0033-3549 ISO Abbreviation: Public Health Rep Publication Date: 2011 Jul-Aug |
Date Detail:
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Created Date: 2011-08-01 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9716844 Medline TA: Public Health Rep Country: United States |
Other Details:
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Languages: eng Pagination: 560-7 Citation Subset: AIM; IM |
Affiliation:
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RTI International, 2951 Flowers Rd., Ste. 119, Atlanta, GA 30341, USA. drein@rti.org |
Export Citation:
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Descriptor/Qualifier:
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| Grant Support | |
ID/Acronym/Agency:
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200-2009-F-30515//PHS HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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