SRM Supplementary Information SRM_SHO_303 SRM Supplementary Information.
Supplementary slides workforce paper Robotin, Kansil et al.
6
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Estimated recruitment costs for a Greater Sydney program have been modelled to focus on GP recruitment 3 Recruitment costs assume a locally- focused program For a larger program – the profile of costs would vary, to reach a larger population which is more dispersed and has a lower overall CHB seroprevalence rate About $56.40 per person recruited in the first three years Recruiting costs in first three years of a program In thousand AUD, not discounted Based on $200 per GP in target area Source: Economic model
Transcript of Supplementary slides workforce paper Robotin, Kansil et al.
Supplementary slides workforce paper
Robotin, Kansil et al
Select population scenarios for a CHB screening and treatment and HC C screening program in Australia
A: B Positive pilot B: Greater Sydney
E: Focused National
Total population in area 709,900 2,030,100 6,001,300
Total target population in areaAge 35+, China-, HK- or Vietnam-born
45,000 105,800 218,500 Concentration of target population amongst those aged ≥ 35 years
12.3% 10.1% 6.5%Total CHB cases in the areaFor ages 35+, all countries of birth/ethnicities 8,300 20,300 52,000Overall CHB prevalence in areaFor ages 35+, all countries of birth/ethnicities 2.3% 1.9% 1.5%
ESTIMATE
NB: Pilot areas have highest concentration of target population and highest CHB incidence
Estimated recruitment costs for a Greater Sydney program have been modelled to focus on GP recruitment
3
Recruitment costs assume a locally-focused programFor a larger program –the profile of costs would vary, to reach a larger population which is more dispersed and has a lower overall CHB seroprevalence rate
About $56.40 per person recruited in the first three years
Recruiting costs in first three years of a programIn thousand AUD, not discounted
Based on $200 per GP in target area
Source: Economic model
The costs of the program overall are driven primarily by the costs of CHB treatment
4
Source: Economic model
Incremental program costs over the life of program$ millions (discounted)
Interferon
Entecavir
We have used the following estimates for marketing/recruitment costs
Media and broad awareness programs
GP recruitment and education
• Newspaper, radio and other media advertisements
• PR• Community education - seminars,
pamphlets, etc.
• Letters and other contact with GP• GP information packets and
materials• Any compensation or costs for
reviewing GP records
$50,000
$200 per GP in area
Element Examples Costs
$100,000 $1 million $1 million
Pilot (A) Greater Sydney (B)
Broad NSW (D)
Focused National (E)
Elements of screening and surveillance, costs, and payers
6
Procedure/Element Schedule fee
Actual fee
Initial screening Surveillance
HBsAg Negative
HBsAg positive, not high risk
HBsAg pos, high HCC risk
Routine Enhanced
Standard GP appointment $32.10 $32.10
Extended time for GP appointment (difference b/t long & standard)
$28.85 $28.85
Specialist appointment $133.95 $133.95
Three tests: HBsAg, HBeAg, and one other (e.g., HBcAg or anti-body to HCV or HDV)
$40.80 $40.80
Two tests: HBsAg and HBeAg $29.45 $29.45
One test: HBsAg $15.75 $15.75
HBV DNA $120 $120
ALT $9.75 $9.75
AFP $24.75 $24.75
Ultrasound $111.30
Biopsy•Anaesthesia•Biopsy•Hospital stay
$70.00$154.20
$407.50
TOTAL $44.60 $231.50 $888.91 $191.30 $327.35
