短缺和配给的后果:来自儿科疫苗的证据
Eli Liebman1, Emily C Lawler2, Abe Dunn3
1University of Georgia, 620 South Lumpkin Street, Athens, GA 30602, United States.
Journal of health economics
|October 19, 2023
概括
在小儿血流感B型 (Hib) 疫苗短缺期间,医疗保健配给减少了疫苗接种率,特别是在辅助疫苗中. 追赶疫苗接种不完整,导致长期影响和护理中断.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 疫苗政策 疫苗政策
- 儿科健康 儿科健康
背景情况:
- 短缺和配给在医疗保健中很常见,但它们的后果仍未得到充分研究.
- 儿科血流感B型 (Hib) 疫苗面临18个月的短缺,需要配给.
研究的目的:
- 调查Hib疫苗短缺和随后的配给对接种疫苗和长期健康结果的影响.
- 分析对医疗保健利用和患者行为的影响.
主要方法:
- 利用保险索赔数据来跟踪不同出生队伍的疫苗接种状态.
- 分析了短缺暴露的变化,以确定其对疫苗接种和医疗保健模式的影响.
主要成果:
- 短缺导致原发性Hib疫苗剂量减少了4%,增强剂量减少了26%,这表明提供者遵守了配给.
- 长期随访显示接种疫苗不足,缺乏疫苗的群体在以后接种增剂的可能性降低了4%.
- 这种短缺导致了更换医疗服务提供者的增加,额外的访问,以及对其他医疗保健服务的不利影响.
结论:
- 疫苗短缺期间的医疗保健配给对疫苗接种覆盖率产生重大影响,对弱势群体产生持久影响.
- 该研究强调需要强大的疫苗供应链和策略,以减轻短缺对儿童健康和医疗保健系统的下游影响.
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