Modelling the impact of opportunistic screening on the sequelae and public healthcare costs of infection with Chlamydia trachomatis in Australian women

Ward, B., Rodger, A. J. and Jackson, T. J. (2006) Modelling the impact of opportunistic screening on the sequelae and public healthcare costs of infection with Chlamydia trachomatis in Australian women. Public Health, 120 1: 42-49. doi:10.1016/j.puhe.2005.03.002


Author Ward, B.
Rodger, A. J.
Jackson, T. J.
Title Modelling the impact of opportunistic screening on the sequelae and public healthcare costs of infection with Chlamydia trachomatis in Australian women
Journal name Public Health   Check publisher's open access policy
ISSN 0033-3506
1476-5616
Publication date 2006-01-01
Sub-type Article (original research)
DOI 10.1016/j.puhe.2005.03.002
Open Access Status Not Open Access
Volume 120
Issue 1
Start page 42
End page 49
Total pages 8
Place of publication London, United Kingdom
Publisher W B Saunders
Language eng
Abstract Objectives: To describe the health outcomes and public healthcare costs of a single screening for Chlamydia trachomatis in Australian women aged 15-34 years. Methods: A decision analytic model was used to determine the epidemiological estimates of prevalence and costs of C. trachomatis infection and its diagnosis, treatment and sequelae. Results: We estimate that in any female population in Australia, with a Chlamydia prevalence rate of 5.7% or higher, a single screening examination for Chlamydia is cost saving for the public healthcare system. Conclusions: We found that opportunistic screening of high-risk populations is likely to be cost saving to the public healthcare system, although there is not sufficient evidence to support periodic population screening. As our model uses conservative epidemiological and public healthcare cost estimates, the health and financial impacts of C. trachomatis used in the model may be an underestimate of the true costs of infection. (c) 2005 The Royal Institute of Public Health. Published by Elsevier Ltd. All rights reserved.
Keyword Public, Environmental & Occupational Health
Chlamydia
screening
public healthcare cost
Australia
Pelvic-inflammatory-disease
In-vitro Fertilization
Risk-factors
Prevalence
Epidemiology
Transmission
Azithromycin
Fertility
Melbourne
Rates
Q-Index Code C1
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
 
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Created: Sat, 26 Jan 2008, 02:43:52 EST