دورية أكاديمية
Economics of reducing response time to foreign-animal disease in the United States with point-of-care diagnostic tests.
| العنوان: | Economics of reducing response time to foreign-animal disease in the United States with point-of-care diagnostic tests. |
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| المؤلفون: | Railey AF; Department of Sociology, Oklahoma State University, OK, USA. Electronic address: ashley.railey@okstate.edu., Adamson D; School of Agriculture, Food and Environment, Royal Agricultural University, Cirencester, UK. Electronic address: David.Adamson@rau.ac.uk., Simmons HL; Institute for Infectious Animal Diseases, Texas A&M AgriLife Research, TX, USA. Electronic address: heather.engleking@ag.tamu.edu., Rushton J; Centre of Excellence for Sustainable Food Systems, University of Liverpool, Liverpool UK. Electronic address: jrushton@liverpool.ac.uk. |
| المصدر: | Preventive veterinary medicine [Prev Vet Med] 2024 Sep; Vol. 230, pp. 106284. Date of Electronic Publication: 2024 Jul 23. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Scientific Publishing Country of Publication: Netherlands NLM ID: 8217463 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-1716 (Electronic) Linking ISSN: 01675877 NLM ISO Abbreviation: Prev Vet Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Amsterdam : Elsevier Scientific Publishing Original Publication: Amsterdam, Netherlands : Elsevier, [1982- |
| مواضيع طبية MeSH: | Point-of-Care Testing*/economics , Cost-Benefit Analysis*, Animals ; United States ; Cattle ; Swine ; Swine Diseases/diagnosis ; Swine Diseases/economics ; Communicable Diseases, Imported/veterinary ; Communicable Diseases, Imported/diagnosis ; Communicable Diseases, Imported/prevention & control ; Communicable Diseases, Imported/economics ; Cattle Diseases/diagnosis ; Cattle Diseases/economics ; Poultry Diseases/diagnosis ; Poultry Diseases/economics ; Point-of-Care Systems/economics ; Poultry ; Disease Outbreaks/veterinary ; Disease Outbreaks/prevention & control ; Disease Outbreaks/economics ; Time Factors |
| مستخلص: | Background: As low probability events, United States producers, value chain actors, and veterinary services (VS) have limited experience with identifying foreign animal disease (FAD), which can allow FADs to spread undetected. Point-of-care (POC) diagnostic testing may help reduce the time from detecting an initial suspect case to implementing actionable interventions compared to the current approach of only using laboratory diagnostic testing for disease diagnosis and confirmation. To evaluate the value of the reduced response time, we compare the associated costs between the two diagnostic approaches while accounting for the uncertainty surrounding the size of a FAD event. Methods: We apply a state-contingent approach (SCA) to model the uncertainty surrounding a FAD through alternative events, where the event defines the scale of outbreak size and its duration. We apply this approach within a cost-benefit framework (CBA) to determine the economic value from the two testing investment strategies to help explain the policymaker's response (and costs) to alternative FAD events while also considering the cost impacts on the producers from each event. Results: Compared to the current laboratory strategy, a POC strategy that reduces response time by 0.5-days (swine, cattle scenarios) and 1.5-days (poultry scenario) may provide cost-saving to both producers and public response efforts. The benefit-cost analysis further suggests that despite the higher fixed costs to adopt the POC strategy, the swine and cattle sectors may benefit while the benefits may not be as pronounced in the poultry sector. Discussion: POC testing that can reduce the time between detection and response during a FAD event may be a sound strategy for public expenditure and provide cost-savings for producers, especially when minimal fixed costs are incurred. However, to fully determine the value of POC testing, the consequences (costs) associated with potential actions if something goes wrong, (e.g. false positive results), should be considered in future studies. Competing Interests: Declaration of Competing Interest The authors received financial support provided by the USDA APHIS Award #AP22VSD&B000C026 and declare no additional conflicts of interest. (Copyright © 2024 Elsevier B.V. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Point-of-care; benefit-cost analysis; diagnostic testing; foreign animal disease |
| تواريخ الأحداث: | Date Created: 20240801 Date Completed: 20240812 Latest Revision: 20240812 |
| رمز التحديث: | 20240813 |
| DOI: | 10.1016/j.prevetmed.2024.106284 |
| PMID: | 39089162 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1873-1716 |
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| DOI: | 10.1016/j.prevetmed.2024.106284 |