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Asia-Pacific Journal of Public Health
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The Economic Evaluation of a Health Screening Program on Congenital Heart Disease for School Children in Taichung, Taiwan

Fong-Lin Chen, MD, PhD

Division of Pediatric Cardiology, Chung Shan Medical University Hospital, Institute of Medicine, Chung Shan Medical University

Jar-Yuan Pai, MHA, DrPH

Department of Health Services, Chung Shan Medical University, Taichung City, Taiwan, jpai{at}csmu.edu.tw

Objective The objective of this study was the economic evaluation of screening school children for congenital heart disease (CHD). Methods The sample consisted of all the 45 725 students in grades 1 and 7 from Taichung County, Taiwan. STATISTICA, version 7.1, was used to determine descriptive statistics and Student's t tests on students' height, weight, and body mass index (BMI). Results The total cost of CHD screening was NT$4 863 866 (NT$32 = US$1), and the average cost was NT$106.37 per child. The rate of finding new asymptomatic students was 2.9174%, and the cost of finding 1 asymptomatic student was NT$3646. Also, a cost-effective analysis showed NT$165.7 per year of life saved. Conclusions Twelve Student's t tests were conducted, and it found that students' height, weight, and BMI was not associated with asymptomatic students. A goodness-of-fit {chi}2 found that females have a higher rate of asymptomatic CHD.

Key Words: mass health screening • congenital heart disease • economic evaluation • hand-carried ultrasound devices • activity-based costing method

Asia-Pacific Journal of Public Health, Vol. 20, No. 4, 307-316 (2008)
DOI: 10.1177/1010539508322248
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