The Equity Impact Vaccines May Have On Averting Deaths And Medical Impoverishment In Developing Countries
The Equity Impact Vaccines May Have On Averting Deaths And Medical Impoverishment In Developing Countries
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DOI：
10.1377/hlthaff.2017.0861
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发表时间：
2018-02-01
期刊：
影响因子：
9.7
通讯作者：
Verguet, Stephane
中科院分区：
文献类型：
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作者：
Chang, Angela Y.;Riumallo-Herl, Carlos;Verguet, Stephane
随着社会政策越来越多地针对通过卫生方案来增强公平，重要的是制定方法，按亚群估计这些方案的健康和经济利益，以评估公平问题和方案的总体影响。我们估计了41个低收入和中等收入国家的10种抗原及其相应疫苗在收入五分之一范围内对健康的不同影响(以避免的死亡人数衡量)和家庭经济影响(以避免医疗贫困的人数衡量)。我们的分析表明，所有这些疫苗的收益将主要集中在收入最低的五分之一人群中。政策制定者应该被告知疫苗可能对健康和经济分配产生的巨大影响，他们应该将疫苗接种政策视为改善健康公平的潜在重要渠道。我们的结果为疫苗可预防疾病的分布及其预防带来的健康益处提供了洞察力。
With social policies increasingly directed toward enhancing equity through health programs, it is important that methods for estimating the health and economic benefits of these programs by subpopulation be developed, to assess both equity concerns and the programs' total impact. We estimated the differential health impact (measured as the number of deaths averted) and household economic impact (measured as the number of cases of medical impoverishment averted) of ten antigens and their corresponding vaccines across income quintiles for forty-one low-and middle-income countries. Our analysis indicated that benefits across these vaccines would accrue predominantly in the lowest income quintiles. Policy makers should be informed about the large health and economic distributional impact that vaccines could have, and they should view vaccination policies as potentially important channels for improving health equity. Our results provide insight into the distribution of vaccine-preventable diseases and the health benefits associated with their prevention.