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The Social Value Of Vaccination Programs: Beyond Cost-Effectiveness
Jeroen Luyten1, Philippe Beutels2
1Jeroen Luyten (J.luyten@lse.ac.uk) is a fellow in the Department of Social Policy at the London School of Economics, in the United Kingdom.
Health Affairs (Project Hope)
|February 10, 2016
Summary
Cost-effectiveness analysis for vaccination programs overlooks broader economic and socioethical impacts. A multidimensional approach is needed to fully evaluate vaccine benefits beyond mere cost-effectiveness.
Area of Science:
- Health Economics
- Public Health Policy
- Vaccinology
Background:
- Healthcare budgets face increasing strain globally, necessitating rigorous evaluation of medical interventions.
- Cost-effectiveness analysis (CEA) is a standard tool for assessing intervention value relative to cost, influencing healthcare funding decisions.
- Existing CEA frameworks may not fully capture the comprehensive benefits of vaccination programs.
Purpose of the Study:
- To highlight the limitations of cost-effectiveness analysis in evaluating vaccination programs.
- To argue for the inclusion of broader socioethical and economic impacts in vaccine program assessments.
- To advocate for multidimensional evaluation perspectives for vaccination programs.
Main Methods:
- Literature review on cost-effectiveness analysis and vaccination program evaluation.
- Analysis of how CEA can neglect broader economic impacts of vaccines.
- Argumentation for incorporating socioethical contributions into evaluation frameworks.
Main Results:
- Cost-effectiveness analysis often fails to capture the full community value of vaccination programs.
- Broader economic impacts, such as effects on workforce productivity and reduced healthcare utilization, are frequently overlooked.
- Socioethical contributions, including enhanced health equity, sustained herd immunity, and improved social integration, are neglected in standard CEA.
Conclusions:
- Evaluations of vaccination programs require a broader, multidimensional perspective beyond traditional cost-effectiveness analysis.
- Incorporating social, ethical, and economic impacts alongside cost-effectiveness provides a more complete assessment of vaccine value.
- A comprehensive evaluation framework is essential for informed decision-making regarding public health investments in vaccination.
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