The role of economic information in decision-making by the Advisory Committee on Immunization Practices
The role of economic information in decision-making by the Advisory Committee on Immunization Practices
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DOI：
10.1016/j.vaccine.2008.07.085
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发表时间：
2008-10-03
期刊：
影响因子：
5.5
通讯作者：
Davis, Matthew M.
中科院分区：
文献类型：
--
作者：
Dempsey, Amanda F.;Cowan, Anne E.;Davis, Matthew M.
随着疫苗成本稳步上升，免疫实践咨询委员会 (ACIP) 的建议对公众的经济影响越来越大。我们使用半结构化电话访谈来评估 2006-2007 年 ACIP 15 名投票成员关于委员会在审议新疫苗建议时使用经济信息的知识、态度和做法。这些采访证明了经济信息在 ACIP 审议中的重要性，但也表明许多成员认为经济信息不应被疫苗功效、疾病负担和安全性等更重要的问题所取代。此外，尽管成员在分析经济数据方面的专业知识水平参差不齐，但人们普遍担心，成本效益模型开发中固有的假设使得解释这些模型产生的数据变得困难。为了消除这种担忧，一些 ACIP 成员建议对向委员会提交经济数据的流程进行标准化，以便 ACIP 在审议中对后续信息进行更统一的考虑。 (C) 2008 Elsevier Ltd. 保留所有权利。
With cost of vaccines steadily increasing, recommendations of the Advisory Committee on Immunization Practices (ACIP) have growing economic implications for the public. We used semi-structured telephone interviews to assess the knowledge, attitudes, and practices of the 15 voting members of the 2006-2007 ACIP regarding the use of economic information by the committee in their deliberations about new vaccine recommendations. These interviews demonstrated the importance of economic information in ACIP deliberations, but also revealed that many members felt economic information should not be outweighed by the more important issues of vaccine efficacy, disease burden, and safety. In addition, though members had variable levels of expertise in analyzing economic data, there was a general concern that assumptions inherent in the development of cost-effectiveness models made interpretation of the data resulting from these models difficult. To counteract this concern, several ACIP members suggested standardizing the process of how economic data are presented to the committee so that a more uniform consideration of consequential information might be undertaken by the ACIP in their deliberations. (C) 2008 Elsevier Ltd. All rights reserved.