THEODORE G. GANIATS, M.D.; ANTHONY F. WONG, M.D.
To the editor: In their article on type A influenza prevention and control in nursing homes, Patriarca and colleagues (1) express cost-effectiveness as the ratio of the net health care costs to net health effects. They should be commended for acknowledging that including the costs of continuing institutional care during years-of-life gained often biases a cost-effectiveness analysis, and disregarding these costs may be acceptable. However, they ignore a basic principle of cost-effectiveness research and later do a misleading calculation.
Direct medical costs, defined by the authors as the costs of treatment and hospitalization for those acquiring influenza, should have been
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GANIATS TG, WONG AF. Influenza in Nursing Homes. Ann Intern Med. 1988;108:644–645. doi: 10.7326/0003-4819-108-4-644_2
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Published: Ann Intern Med. 1988;108(4):644-645.
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