The Economic and Fiscal Impact of Influenza Vaccination for Health Care Workers in Italy
Abstract
:1. Introduction
2. Materials and Methods
2.1. Fiscal Impact Estimation
2.2. Cost Estimation
2.3. Eligible Population
2.4. Sensitivity Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variable | Value | Source |
---|---|---|
Total working hours/HCWs | 2112 | Italian National Institute of Statistics, 2022 [31] |
Total working hours/week | 44 | Assumption |
Hourly cost | €35.04 | Calculated |
Taxable Hourly Fixed Part | €29.08 | Calculated |
Taxable Hourly Variable Part | €5.96 | Calculated |
Total Weekly Taxable Amount | €1541.76 | Calculated |
Total Annual Taxable Amount | €74,004.48 | Calculated |
Number of working days lost (flu syndrome average duration) | 2 | Italian National Institute of Health, 2022 [30] |
Number of working hours lost due to the flu syndrome | 16 | Calculated |
Working hours considering an episode of flu/HCWs | 2096 | Calculated |
Impact of influenza complications on the total potential/man hours | 2112 | Calculated |
% people with flu complications | 0% | Assumption |
Impact of flu and complications among the HCWs total annual taxable income | €73,909.17 | Calculated |
Flu impact on the patient’s total annual taxable income | €73,909.17 | Calculated |
Tax on personal income (Italy) | ||
€15,000 | 23.00% | Italian budget law 2021 [32] |
€28,000 | 27.00% | Italian budget law 2021 [32] |
€55,000 | 38.00% | Italian budget law 2021 [32] |
€75,000 | 41.00% | Italian budget law 2021 [32] |
€80,000 | 43.00% | Italian budget law 2021 [32] |
Annual income (no flu) | €24,991.93 | Calculated |
HCW annual revenue | €24,950.94 | Calculated |
HCW tax impact | €40.98 | Calculated |
Annual social costs per HCWs | €560.64 | Calculated |
Type of HCWs | Type of Data Health Personnel | Health Personnel per 10,000 Inhabitants | Average Annual Salary | |
---|---|---|---|---|
A | Anesthetists | 12,226 | 2.06 | €76,900 |
Cardiologists | 13,706 | 2.31 | €98,000 | |
Surgeons | 8098 | 1.36 | €125,000 | |
Gastroenterologists | 3543 | 0.6 | €55,000 | |
Geriatricians | 4178 | 0.7 | €64,900 | |
Neurologists | 6658 | 1.12 | €64,900 | |
Oncologists | 4633 | 0.78 | €86,400 | |
Orthopedists | 9277 | 1.56 | €95,000 | |
Otolaryngologists | 4336 | 0.73 | €94,700 | |
Urologists | 4053 | 0.68 | €86,400 | |
B | Other Medical Specialists | 109,497 | 18.42 | €80,146 |
C | Pediatricians | 16,569 | 2.79 | €64,900 |
Free Choice Pediatricians (FCPs) | 7285 | 1.23 | €64,900 | |
Pediatricians (Excluding FCPs) | 9284 | 1.56 | €64,900 | |
(A + B + C) | Medical Specialists | 187,490 | 31.54 | €84,533 |
D | General Practitioners | 50,354 | 8.47 | €105,000 |
General Practitioners (GPs) | 41,707 | 7.02 | €80,934 | |
Other doctors (Excluding GPs) | 8647 | 1.45 | €77,545 | |
(A + B + C) + D | Total Doctors (General Practitioners and Specialists) | 237,844 | 40.01 | €79,279 |
E | Dentists | 51,678 | 8.69 | €77,000 |
Midwives | 17,239 | 2.9 | €33,600 | |
Nurses | 373,064 | 62.76 | €26,400 | |
Pharmacists | 73,833 | 12 | €26,500 | |
(A + B + C) + D + E | Total HCWs | 753,658 | 128 | €74,471 |
Year | Vaccine Coverage | Number of HCWs Exposed to Influenza | Fiscal Impact | Indirect Costs | Total | Increase in Tax Revenues (Cumulated) | Reduction in Loss of Productivities (Cumulated) |
---|---|---|---|---|---|---|---|
1 | 30% | 23,213 | −€951,319.69 | €13,013,949.29 | €13,965,268.98 | €—* | €—* |
2 | 40% | 20,891 | −€856,187.72 | €11,712,554.36 | €12,568,742.09 | €95,131.97 | −€1,301,394.93 |
3 | 50% | 18,802 | −€770,568.95 | €10,541,298.93 | €11,311,867.88 | €180,750.74 | −€2,472,650.37 |
4 | 60% | 16,922 | −€693,512.06 | €9,487,169.03 | €10,180,681.09 | €257,807.64 | −€3,526,780.26 |
5 | 70% | 15,230 | −€624,160.85 | €8,538,452.13 | €9,162,612.98 | €327,158.84 | −€4,475,497.16 |
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Calabrò, G.E.; Rumi, F.; Fallani, E.; Ricciardi, R.; Cicchetti, A. The Economic and Fiscal Impact of Influenza Vaccination for Health Care Workers in Italy. Vaccines 2022, 10, 1707. https://doi.org/10.3390/vaccines10101707
Calabrò GE, Rumi F, Fallani E, Ricciardi R, Cicchetti A. The Economic and Fiscal Impact of Influenza Vaccination for Health Care Workers in Italy. Vaccines. 2022; 10(10):1707. https://doi.org/10.3390/vaccines10101707
Chicago/Turabian StyleCalabrò, Giovanna Elisa, Filippo Rumi, Elettra Fallani, Roberto Ricciardi, and Americo Cicchetti. 2022. "The Economic and Fiscal Impact of Influenza Vaccination for Health Care Workers in Italy" Vaccines 10, no. 10: 1707. https://doi.org/10.3390/vaccines10101707
APA StyleCalabrò, G. E., Rumi, F., Fallani, E., Ricciardi, R., & Cicchetti, A. (2022). The Economic and Fiscal Impact of Influenza Vaccination for Health Care Workers in Italy. Vaccines, 10(10), 1707. https://doi.org/10.3390/vaccines10101707