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April 19, 1985, Vol 253, No. 15 >
ARTICLE | April 19, 1985

Parasite Screening and Treatment Among Indochinese Refugees: Title and subTitle BreakCost-Benefit/Utility and the General Health Policy Model FREE

John P. Anderson, PhD; Robert J. Moser, PhD
[+] Author Affiliations

Reprint requests to Department of Community and Family Medicine, University of California at San Diego, La Jolla, CA 92093 (Dr Anderson).


JAMA. 1985;253(15):2229-2235. doi:10.1001/jama.1985.03350390071028
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References

The General Health Policy Model and the Quality of Well-being scale are used to describe a "cost-benefit/utility" evaluation of a screening and treatment program for intestinal parasites among Indochinese refugees in the United States. Cost-benefit/utility analysis subsumes conventional cost-effectiveness by explicitly adding social utility factors to the dollar dimension. Using actual data on parasite prevalence and program costs from one screening project and estimated figures for other factors, this article demonstrates calculation of the cost-benefit/utility outcome measure, dollars per well-year. Dollars per well-year for parasite screening are calculated for a number of examples. Further analysis and final conclusions on the worth of parasite screening and treatment programs await more reliable data for some terms of the developed model.

(JAMA 1985;253:2229-2235)

REFERENCES

1 +
Barrett-Connor E:  Latent and chronic infections imported from Southeast Asia . JAMA 1978;;239:1901-1906.
2 +
Erickson RV, Hoang GH:  Health problems among Indochinese refugees . Am J Public Health 1980;;70:1003-1006.
3 +
Catanzaro A, Moser RJ:  Health status of refugees from Vietnam, Laos and Cambodia . JAMA 1982;;247:1303-1308.
4 +
Holtan N, Crossley KB, Pries CN:  Prevalence of intestinal parasites in a Laotian immigrant community . Minn Med 1979;;62:749-752.
5 +
Wiesenthal AM, Nickels MK, Hashimoto G, et al:  Intestinal parasites in Southeast Asian refugees: Prevalence in a community of Laotians . JAMA 1980;;244:2543-2544.
6 +
Hoffman SL, Barrett-Connor E, Norcross W, et al:  Intestinal parasites in Indochinese immigrants . Am J Trop Med Hyg 1981;;30:340-343.
7 +
Skeels MR, Nims LJ, Mann JM:  Intestinal parasites among Southeast Asian immigrants in New Mexico . Am J Public Health 1982;;72:57-58.
8 +
 Health status of Indochinese refugees . MMWR 1979;;28:385-390, 395-398.
9 +
Barrett-Connor E:  Direct dollar costs and savings of screening stool examinations for eggs and parasites in adult Southeast Asian refugees . Am J Trop Med Hyg 1982;;31:466-468.
10 +
Lindes C:  Intestinal parasites in Laotian refugees . J Fam Pract 1979;;9:819-822.
11 +
Arfaa F:  Intestinal parasites among Indochinese refugees and Mexican immigrants resettled in Contra Costa County, California . J Fam Pract 1981;;12:223-226.
12 +
Kaplan RM, Bush JW, Berry CC:  Health status: Types of validity and the index of well-being . Health Serv Res 1976;;11:478-507.
13 +
Kaplan RM, Bush JW:  Health-related quality of life measurement for evaluation research and policy analysis . Health Psychol 1982;;1:61-80.
14 +
Kaplan RM, Bush JW, Berry CC:  The reliability, stability and generalizability of a health status index , in: Proceedings of the Social Statistics Section . Washington, DC, American Statistical Association, 1978;, pp 704-709.
15 +
Kaplan RM, Bush JW, Berry CC:  Health status index: Category rating versus magnitude estimation for measuring levels of well-being . Med Care 1979;;17:501-523.
16 +
Bush JW, Chen M, Patrick DL:  Costeffectiveness using a health status index: Analysis of the New York State PKU Screening Program , in Berg R (ed): Health Status Indexes . Chicago, Hospital Research and Educational Trust, 1973;, pp 172-208.
17 +
Bush JW, Fanshel S, Chen M:  Analysis of a tuberculin testing program using a health status index . J Socio-Economic Planning Sciences 1972;; 6:46-49.
18 +
Weinstein MC, Stason WB:  Foundations of cost-effectiveness analysis for health and medical practices . N Engl J Med 1977;;296:716-721.
19 +
Stason WB, Weinstein MC:  Allocation of resources to manage hypertension . N Engl J Med 1977;;296:732-739.
20 +
Weinstein MC:  Estrogen use in post-menopausal women—costs, risks and benefits . N Engl J Med 1980;;303:308-316.
21 +
Epstein KA, Schneiderman LJ, Bush JW, et al:  The abnormal serum thyroxine (T4): Analysis of physician response, outcome, cost and health effectiveness . J Chronic Dis 1981;; 34:175-190.
22 +
A Review of Selected Federal Vaccine and Immunization Policies Based on Case Studies of Pneumococcal Vaccine . Office of Technology Assessment, US Congress, 1979;.
23 +
Bergner M, Bobbitt RA, Carter WB, et al: The sickness impact profile:  Development and final revision of a health status measure . Med Care 1981;;19:787-805.
24 +
Stewart AL, Ware JE Jr, Brook RH:  Advance in the measurement of functional status: Construction of aggregate indexes . Med Care 1981;;19:473-488.
25 +
 Drugs for parasite infections . Med Lett 1982;;24:5-12.
26 +
Tigertt G, Hunter GW III, Ritchie LS:  Parasitological studies in the Far East: I. Methods and review of Japanese literature . Jpn J Med Sci Biol 1952;;5:357-385.
27 +
Bureau of the Census: Statistical Abstract of the United States . US Dept of Commerce, 1981;.
28 +
Analyzing 1981 Earnings Data From the Current Population Survey , Bureau of Labor Statistics publication 2149. US Dept of Labor, 1982;.
29 +
Barrett-Connor E:  Natural history of intestinal parasites in asymptomatic adults . J Fam Pract 1984;;19:635-639.
30 +
Landefeld JS, Seskin EP:  The economic value of life: Linking theory to practice . Am J Public Health 1982;;72:566.
31 +
Cooper BS, Rice DP:  The economic cost of illness revisited . Social Security Bull 1976;;39:21-36.

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1 +
Barrett-Connor E:  Latent and chronic infections imported from Southeast Asia . JAMA 1978;;239:1901-1906.
2 +
Erickson RV, Hoang GH:  Health problems among Indochinese refugees . Am J Public Health 1980;;70:1003-1006.
3 +
Catanzaro A, Moser RJ:  Health status of refugees from Vietnam, Laos and Cambodia . JAMA 1982;;247:1303-1308.
4 +
Holtan N, Crossley KB, Pries CN:  Prevalence of intestinal parasites in a Laotian immigrant community . Minn Med 1979;;62:749-752.
5 +
Wiesenthal AM, Nickels MK, Hashimoto G, et al:  Intestinal parasites in Southeast Asian refugees: Prevalence in a community of Laotians . JAMA 1980;;244:2543-2544.
6 +
Hoffman SL, Barrett-Connor E, Norcross W, et al:  Intestinal parasites in Indochinese immigrants . Am J Trop Med Hyg 1981;;30:340-343.
7 +
Skeels MR, Nims LJ, Mann JM:  Intestinal parasites among Southeast Asian immigrants in New Mexico . Am J Public Health 1982;;72:57-58.
8 +
 Health status of Indochinese refugees . MMWR 1979;;28:385-390, 395-398.
9 +
Barrett-Connor E:  Direct dollar costs and savings of screening stool examinations for eggs and parasites in adult Southeast Asian refugees . Am J Trop Med Hyg 1982;;31:466-468.
10 +
Lindes C:  Intestinal parasites in Laotian refugees . J Fam Pract 1979;;9:819-822.
11 +
Arfaa F:  Intestinal parasites among Indochinese refugees and Mexican immigrants resettled in Contra Costa County, California . J Fam Pract 1981;;12:223-226.
12 +
Kaplan RM, Bush JW, Berry CC:  Health status: Types of validity and the index of well-being . Health Serv Res 1976;;11:478-507.
13 +
Kaplan RM, Bush JW:  Health-related quality of life measurement for evaluation research and policy analysis . Health Psychol 1982;;1:61-80.
14 +
Kaplan RM, Bush JW, Berry CC:  The reliability, stability and generalizability of a health status index , in: Proceedings of the Social Statistics Section . Washington, DC, American Statistical Association, 1978;, pp 704-709.
15 +
Kaplan RM, Bush JW, Berry CC:  Health status index: Category rating versus magnitude estimation for measuring levels of well-being . Med Care 1979;;17:501-523.
16 +
Bush JW, Chen M, Patrick DL:  Costeffectiveness using a health status index: Analysis of the New York State PKU Screening Program , in Berg R (ed): Health Status Indexes . Chicago, Hospital Research and Educational Trust, 1973;, pp 172-208.
17 +
Bush JW, Fanshel S, Chen M:  Analysis of a tuberculin testing program using a health status index . J Socio-Economic Planning Sciences 1972;; 6:46-49.
18 +
Weinstein MC, Stason WB:  Foundations of cost-effectiveness analysis for health and medical practices . N Engl J Med 1977;;296:716-721.
19 +
Stason WB, Weinstein MC:  Allocation of resources to manage hypertension . N Engl J Med 1977;;296:732-739.
20 +
Weinstein MC:  Estrogen use in post-menopausal women—costs, risks and benefits . N Engl J Med 1980;;303:308-316.
21 +
Epstein KA, Schneiderman LJ, Bush JW, et al:  The abnormal serum thyroxine (T4): Analysis of physician response, outcome, cost and health effectiveness . J Chronic Dis 1981;; 34:175-190.
22 +
A Review of Selected Federal Vaccine and Immunization Policies Based on Case Studies of Pneumococcal Vaccine . Office of Technology Assessment, US Congress, 1979;.
23 +
Bergner M, Bobbitt RA, Carter WB, et al: The sickness impact profile:  Development and final revision of a health status measure . Med Care 1981;;19:787-805.
24 +
Stewart AL, Ware JE Jr, Brook RH:  Advance in the measurement of functional status: Construction of aggregate indexes . Med Care 1981;;19:473-488.
25 +
 Drugs for parasite infections . Med Lett 1982;;24:5-12.
26 +
Tigertt G, Hunter GW III, Ritchie LS:  Parasitological studies in the Far East: I. Methods and review of Japanese literature . Jpn J Med Sci Biol 1952;;5:357-385.
27 +
Bureau of the Census: Statistical Abstract of the United States . US Dept of Commerce, 1981;.
28 +
Analyzing 1981 Earnings Data From the Current Population Survey , Bureau of Labor Statistics publication 2149. US Dept of Labor, 1982;.
29 +
Barrett-Connor E:  Natural history of intestinal parasites in asymptomatic adults . J Fam Pract 1984;;19:635-639.
30 +
Landefeld JS, Seskin EP:  The economic value of life: Linking theory to practice . Am J Public Health 1982;;72:566.
31 +
Cooper BS, Rice DP:  The economic cost of illness revisited . Social Security Bull 1976;;39:21-36.

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