Healthcare and patient costs of a proactive chlamydia screening programme: the Chlamydia Screening Studies project

Robinson, S; Roberts, T; Barton, P; Bryan, S; Macleod, J; McCarthy, A; Egger, M; Sanford, E; Low, N; Chlamydia, Screening Studies ClaSS Project Group (2007). Healthcare and patient costs of a proactive chlamydia screening programme: the Chlamydia Screening Studies project. Sexually transmitted infections, 83(4), pp. 276-81. London: BMJ Publishing Group 10.1136/sti.2006.023374

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BACKGROUND AND OBJECTIVE: Most economic evaluations of chlamydia screening do not include costs incurred by patients. The objective of this study was to estimate both the health service and private costs of patients who participated in proactive chlamydia screening, using mailed home-collected specimens as part of the Chlamydia Screening Studies project. METHODS: Data were collected on the administrative costs of the screening study, laboratory time and motion studies and patient-cost questionnaire surveys were conducted. The cost for each screening invitation and for each accepted offer was estimated. One-way sensitivity analysis was conducted to explore the effects of variations in patient costs and the number of patients accepting the screening offer. RESULTS: The time and costs of processing urine specimens and vulvo-vaginal swabs from women using two nucleic acid amplification tests were similar. The total cost per screening invitation was 20.37 pounds (95% CI 18.94 pounds to 24.83). This included the National Health Service cost per individual screening invitation 13.55 pounds (95% CI 13.15 pounds to 14.33) and average patient costs of 6.82 pounds (95% CI 5.48 pounds to 10.22). Administrative costs accounted for 50% of the overall cost. CONCLUSIONS: The cost of proactive chlamydia screening is comparable to those of opportunistic screening. Results from this study, which is the first to collect private patient costs associated with a chlamydia screening programme, could be used to inform future policy recommendations and provide unique primary cost data for economic evaluations.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)
UniBE Contributor:	Egger, Matthias, Low, Nicola
ISSN:	1368-4973
ISBN:	17229792
Publisher:	BMJ Publishing Group
Language:	English
Submitter:	Factscience Import
Date Deposited:	04 Oct 2013 14:52
Last Modified:	05 Dec 2022 14:16
Publisher DOI:	10.1136/sti.2006.023374
PubMed ID:	17229792
Web of Science ID:	000248433200008
URI:	https://boris.unibe.ch/id/eprint/22110 (FactScience: 30438)