The comparative value of various employer-sponsored influenza vaccination clinics

Richard K. Zimmerman, Ann E. Wiringa, Mary Patricia Nowalk, Chyongchiou J. Lin, Matthew D. Rousculp, Elizabeth A. Mitgang, Bruce Y. Lee

Research output: Contribution to journalArticlepeer-review


OBJECTIVE:: Many US firms offer influenza vaccination clinics to prevent lost productivity due to influenza. Strategies to promote and offer vaccination differ, and the economic value of the strategies is unknown. METHODS:: Decision analytic modeling and Monte Carlo probabilistic sensitivity analyses estimated the one-season cost-consequences of three types of influenza clinics (trivalent inactivated influenza vaccine only, vaccine choice [trivalent inactivated influenza or intranasal {live attenuated influenza} vaccine], or vaccine choice plus incentive) in firms of 50 and 250 employees, from the employers perspective. RESULTS:: On-site influenza vaccination was generally cost-saving over no vaccination. For the scenario of vaccine effectiveness of 70% and intermediate transmissibility, the incremental costs per employee for a firm of 50 employees were -$6.41 (ie, cost savings) for inactivated vaccine only versus no vaccination, -$1.48 for vaccine choice versus inactivated vaccine, and $1.84 for vaccine choice plus incentive versus vaccine choice. Clinics offering a choice of vaccines were slightly less costly under many scenarios. Generally, incremental costs were lower (1) in larger firms; (2) when influenza was assumed to be more contagious; and (3) when vaccine effectiveness was assumed to be higher. CONCLUSION:: Employer-sponsored influenza vaccination clinics are generally cost-saving.

Original languageEnglish (US)
Pages (from-to)1107-1117
Number of pages11
JournalJournal of occupational and environmental medicine
Issue number9
StatePublished - Sep 1 2012
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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