Health care incentives in immunisation
Health care incentives in immunisation
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DOI：
10.1111/j.1467-842x.1999.tb01257.x
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发表时间：
1999-06-01
影响因子：
3.5
通讯作者：
Burgess, M
中科院分区：
文献类型：
--
作者：
Achat, H;McIntyre, P;Burgess, M
背景：澳大利亚推出了全国性的免疫激励计划。这项尚待评估的两年期计划为提供者和家长提供经济奖励，以鼓励儿童免疫接种。目标：审查免疫接种激励措施的使用，确定制定儿童免疫接种激励计划的问题，并在澳大利亚计划的背景下检查研究结果。方法：从 1966 年到 1998 年，在 Medline 上用英语搜索“免疫和经济激励”和“免疫和激励”。结果：搜索确定了 6 个和 93 个其中六篇文章探讨了物质激励对免疫接种覆盖率的影响。参考文献和评论确定了另外三项研究。在这九项研究（两项英国、六项美国、一项尼加拉瓜）中，两项报告了相同的干预措施。在所审查的八项激励措施中，四项涉及食品券等非经济激励措施，四项涉及对父母 (1) 或提供者 (3) 的货币激励。接受激励措施的群体获得免疫的可能性比对照组高出三倍，总体免疫率高出高达 17%。结论：有效的激励措施需要关键参与者的合作，采用适合人口特征的计划，尽管成本效益有所不同，但货币和非货币激励措施都可以提高儿童免疫接种率。对当前计划（包括澳大利亚计划）的评估将有助于未来的资源分配。
Background: Australia has introduced a nationwide immunisation incentive scheme. This yet to be evaluated two-year program offers financial rewards to providers and parents to encourage childhood immunisations.Objectives: To review the use of incentives in immunisation uptake, identify issues in developing an incentive program for childhood immunisation and examine the findings within the context of the Australian scheme.Method: Medline was searched under 'immunization and financial incentive' and 'immunization and incentive' in English 1966 to 1998.Results: The search identified six and 93 articles respectively, of which six examined the role of material incentives influencing coverage of immunisation. References and reviews identified a further three studies. Among these nine studies (two British, six American, one Nicaraguan), two reported the same intervention. Of the eight incentives examined, four referred to non-financial incentives such as food vouchers and four to monetary incentives for parents (1) or providers (3). Groups receiving the incentives were up to three times more likely to be immunised and had overall immunisation rates up to 17% higher than comparison groups.Conclusions: Effective incentives require collaboration of key players, using a program appropriate to the characteristics of the population, Although varying in cost-effectiveness, both monetary and nonmonetary incentives can improve childhood immunisation uptake. Evaluation of current programs including the Australian ones will assist future allocation of resources.