提醒设计和儿童疫苗接种覆盖范围
Jonas Cuzulan Hirani1, Miriam Wüst2
1The Danish Center for Social Science Research - VIVE, Denmark.
Journal of health economics
|November 17, 2023
概括
疫苗接种提醒,特别是针对幼儿的回顾性提醒,改善了儿童疫苗接种覆盖率. 数字和邮政方法同样有效,有望提醒有助于复杂的程序和后来的儿童免疫接种.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 流行病学 流行病学
背景情况:
- 不遵守公共疫苗接种计划是一个重大的政策挑战.
- 儿童疫苗接种覆盖面对预防疾病和群体免疫至关重要.
- 复杂的疫苗接种计划可能会导致执法能力下降.
研究的目的:
- 评估不同类型的疫苗接种提醒对儿童疫苗接种覆盖率的有效性.
- 为了确定哪些提醒策略对特定年龄组和疫苗接种类型的影响最大.
- 评估提醒干预对其他健康行为的潜在溢出效应.
主要方法:
- 使用了丹麦人口数据和三个国家改革.
- 使用回归不连续性设计来确定因果关系.
- 在回顾和前性提醒之间进行区分,以及数字与邮政格式之间的区别.
主要成果:
- 追溯提醒对有幼儿的家庭最有效,接近推的疫苗接种年龄.
- 数字提醒和邮政提醒表现出相似的有效性.
- 预期提醒提升了儿童晚年及时接种疫苗,并支持新疫苗的高覆盖率.
结论:
- 疫苗接种提醒是增加儿童疫苗接种覆盖率的宝贵工具.
- 有针对性的回顾性提醒和广泛应用的前性提醒可以解决合规问题.
- 提醒干预主要影响疫苗接种行为,而不会对其他健康行动产生重大溢出影响.
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