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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/25425

Title: Should Hepatitis B Screening Be Added to the United States Immigration Medical Exam? A Cost-utility Model
Authors: Beca, Jaclyn
Advisor: Hoch, Jeffrey
Khan, Kamran
Department: Health Policy, Management and Evaluation
Keywords: hepatitis B
economic evaluation
cost-utility
Markov model
immigration
screening
Issue Date: 14-Dec-2010
Abstract: Hepatitis B virus (HBV) infection is a global leading cause of death as a result of its role in the development of cirrhosis, hepatic decompensation, and hepatocellular carcinoma (HCC). In industrialized nations such as the United States, chronic hepatitis B infection represents a significant and disproportionate disease burden among the foreign-born population. A Markov cohort decision model was developed to determine the cost-effectiveness of HBV screening among new immigrants for the purposes of early detection and treatment, as compared to usual care. The incremental cost-effectiveness ratio for the screening strategy was $45,570 per quality adjusted life year saved. Given the potential for health gains for the immigrant cohort as well as the economic attractiveness of the intervention, some consideration should be given to the addition of a universal HBV screening program to U.S. immigration policy.
URI: http://hdl.handle.net/1807/25425
Appears in Collections:Master
The Institute of Health Policy, Management and Evaluation - Master theses

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