Literature Review of the Decision-Making Determinants Related to the Influenza Vaccination Policy

23 Pages Posted: 9 Apr 2013 Last revised: 17 Apr 2013

See all articles by Maria Laura Dias Alves e Silva

Maria Laura Dias Alves e Silva

University of Lyon 2 - Groupe d'Analyse et de Théorie Economique (GATE)

Lionel Perrier

University of Lyon 2 - Groupe d'Analyse et de Théorie Economique (GATE)

Jean-Marie Cohen

Open Rome

Anne Mosnier

Open Rome

John Paget

NIVEL

Hans-Martin Späth

University Lyon 1

Date Written: April 1, 2013

Abstract

Background: Seasonal influenza concerns the worldwide population every year, whilst pandemic influenza is an unpredictable threat. Due to an important socioeconomic impact, mitigation measures must be specified. Governments elaborate vaccination policy based on scientific evidence. However, this process is, in general, not transparent.

Objectives: To study the decision-making process related to the influenza vaccination policy, identifying the actors involved, the decisions made and describing the information used by type and level of importance.

Methods: Six major databases were searched in seven languages, without time limit, using keywords related to influenza vaccination, decision-making and health policy. Titles and abstracts were screened according to three established criteria. Selected articles were analysed and compared against a checklist for context, stakeholders and evidence.

Results: 111 articles were retrieved since the 1990s, most of them (40%) were conducted in the USA. The decision-making process mainly concerned vaccination strategies (53%) and pandemic preparedness (28%). Stakeholders were identified at an institutional, production and consumer level. Evidence used by policy-makers was similar (e.g. logistics of vaccines), but the factors influencing were different (e.g. social conditions).

Conclusion: Considering the imminent risk of socio-economic disruption and media pressure, the pandemic threat needs to be integrated into an analysis of decision making processes regarding seasonal influenza vaccination.

Keywords: decision-making, influenza vaccination, public health policy

JEL Classification: I18

Suggested Citation

Silva, Maria Laura Dias Alves e and Perrier, Lionel and Cohen, Jean-Marie and Mosnier, Anne and Paget, John and Späth, Hans-Martin, Literature Review of the Decision-Making Determinants Related to the Influenza Vaccination Policy (April 1, 2013). Available at SSRN: https://ssrn.com/abstract=2246749 or http://dx.doi.org/10.2139/ssrn.2246749

Maria Laura Dias Alves e Silva

University of Lyon 2 - Groupe d'Analyse et de Théorie Economique (GATE) ( email )

93, chemin des Mouilles
Ecully, 69130
France

Lionel Perrier (Contact Author)

University of Lyon 2 - Groupe d'Analyse et de Théorie Economique (GATE) ( email )

93, chemin des Mouilles
Ecully, 69130
France

Jean-Marie Cohen

Open Rome ( email )

67, Rue du Poteau
Paris, 75018
France

Anne Mosnier

Open Rome ( email )

67, Rue du Poteau
Paris, 75018
France

John Paget

NIVEL ( email )

United States

Hans-Martin Späth

University Lyon 1 ( email )

43 Bl du 11 novembre 1918
Lyon, Villeurbanne cedex 69622
France

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