The Social Value Of Vaccination Programs: Beyond Cost-Effectiveness
The Social Value Of Vaccination Programs: Beyond Cost-Effectiveness
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DOI：
10.1377/hlthaff.2015.1088
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发表时间：
2016-02-01
期刊：
影响因子：
9.7
通讯作者：
Beutels, Philippe
中科院分区：
文献类型：
--
作者：
Luyten, Jeroen;Beutels, Philippe
在当前全球卫生保健预算压力越来越大的环境下，所有医疗干预措施都必须争夺资金。成本效益分析已经成为一种标准方法，用于估计干预措施相对于其成本提供了多少价值，并已成为决策中的一个有影响力的因素。然而，将成本效益分析应用于疫苗接种计划并不能完全反映这种计划对社区的贡献。最近的文献强调了成本效益分析如何可以忽略疫苗的更广泛的经济影响。在本文中，我们还认为，在成本-效果分析中忽略了社会伦理贡献，如对健康公平的影响，维持群体免疫的公共利益，以及少数群体的社会融合。对疫苗接种计划的评估需要广泛和多维的视角，能够解释它们的社会、伦理和经济影响以及它们的成本效益。
In the current global environment of increased strain on health care budgets, all medical interventions have to compete for funding. Cost-effectiveness analysis has become a standard method to use in estimating how much value an intervention offers relative to its costs, and it has become an influential element in decision making. However, the application of cost-effectiveness analysis to vaccination programs fails to capture the full contribution such a program offers to the community. Recent literature has highlighted how cost-effectiveness analysis can neglect the broader economic impact of vaccines. In this article we also argue that socioethical contributions such as effects on health equity, sustaining the public good of herd immunity, and social integration of minority groups are neglected in cost-effectiveness analysis. Evaluations of vaccination programs require broad and multidimensional perspectives that can account for their social, ethical, and economic impact as well as their cost-effectiveness.