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Vaccination as cost-stabilizing health infrastructure: A Canadian perspective
Ashleigh R Tuite1,2, David N Fisman3, Ellen Rafferty4
1Centre for Immunization Surveillance and Programs, Public Health Agency of Canada, Ottawa, ON, Canada. ashleigh.tuite@phac-aspc.gc.ca.
Summary
Vaccination programs stabilize Canadian healthcare by reducing illness and outbreaks, enhancing system resilience and fiscal predictability. Viewing vaccines as cost-stabilizing infrastructure can improve health system planning and evaluation.
Area of Science:
- Health Economics
- Public Health Policy
- Immunization Programs
Background:
- Canada faces increasing healthcare costs and system strain.
- Vaccination programs mitigate illness burden and disease-related volatility.
- Current economic analyses often overlook system-level benefits of vaccination.
Purpose of the Study:
- To evaluate vaccination programs as stabilizing health infrastructure in Canada.
- To demonstrate how a stabilization lens complements traditional cost-utility analyses.
- To inform prioritization, budgeting, and evaluation of vaccination programs.
Main Methods:
- Analysis of Canadian evidence on vaccination's impact on healthcare use and spending.
- Application of a "stabilization lens" to economic evaluation.
- Comparison with conventional cost-utility analysis frameworks.
Main Results:
- Vaccination programs demonstrably reduce healthcare utilization and spending volatility.
- These programs enhance fiscal predictability and support health system resilience.
- System-level benefits of vaccination are often underestimated by standard economic models.
Conclusions:
- Vaccination should be recognized as critical cost-stabilizing infrastructure.
- Adopting a stabilization perspective can optimize health system planning and resource allocation.
- Prioritizing vaccination programs is essential for a resilient and sustainable healthcare system.
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