Benefit-cost analysis of active surveillance of primary care physicians for hepatitis A

Am J Public Health. 1985 Feb;75(2):176-7. doi: 10.2105/ajph.75.2.176.


We identified two random samples of 216 primary care physicians each. In one sample, we made weekly telephone contact for active hepatitis A (HA) surveillance; in the other, we made no such contact (passive surveillance). Appropriate county health departments were notified whenever we identified a HA case by active surveillance. Active surveillance was associated with a 2.8-fold increase in reported HA cases compared to passive surveillance. The estimated benefit: cost ratio active/passive surveillance was 2.5:1.

MeSH terms

  • Cost-Benefit Analysis / methods
  • Hepatitis A / epidemiology*
  • Humans
  • Kentucky
  • Medicine
  • Physicians, Family
  • Population Surveillance*
  • Public Health Administration / economics*
  • Specialization