Estimating the money flow in the economy attributed to rotavirus disease and vaccination in the Netherlands using a Social Accounting Matrix (SAM) framework

Nikolaos Kotsopoulos*, Gertruud Haitsma, Mark P. Connolly, Baudouin Standaert

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

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    Background: The economics of rotavirus gastroenteritis in infants <5 years old is well-known within healthcare. The financial consequences for families, employers and authorities are not so well explored. The present study evaluates how vaccine prevention changes money flows among e involved in the management of disease, and its consequences. Methods: A Social Accounting Matrix (SAM) framework has been developed reflecting the distribution of income and spending at equilibrium affected by rotavirus disease among all those concerned for 1 year. The data came from official sources and published literature. A comparison of the financial equilibrium between with and without a national rotavirus immunization program has been conducted, along with sensitivity analysis for the results. Results: The total financial cost difference at equilibrium between presence and absence of rotavirus vaccination was +euro26.758 million over one year as a net economic surplus. The payment of vaccination (euro19.194 million) by the government was offset by the increase in tax revenue (euro14.561 million) and by the lower spending in treatment care (euro7.998 million). Conclusion: Studying the financial flows between different transacting agents can demonstrate the financial burden of a disease and the benefits of its prevention on agents' income and spending.

    Original languageEnglish
    Pages (from-to)603-612
    Number of pages10
    JournalExpert review of pharmacoeconomics & outcomes research
    Issue number6
    Early online date23-Nov-2019
    Publication statusPublished - 2020


    • Social accounting matrix
    • broader economics
    • public economics
    • rotavirus
    • vaccination

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