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Titolo:
Economic value to parents of reducing the pain and emotional distress of childhood vaccine injections
Autore:
Meyerhoff, AS; Weniger, BG; Jacobs, RJ;
Indirizzi:
Capitol Outcomes Res Inc, Alexandria, VA 22310 USA Capitol Outcomes Res Inc Alexandria VA USA 22310 Alexandria, VA 22310 USA Ctr Dis Control & Prevent, Natl Immunizat Program, Atlanta, GA 30333 USA Ctr Dis Control & Prevent Atlanta GA USA 30333 ram, Atlanta, GA 30333 USA
Titolo Testata:
PEDIATRIC INFECTIOUS DISEASE JOURNAL
fascicolo: 11, volume: 20, anno: 2001, supplemento:, S
pagine: S57 - S62
SICI:
0891-3668(200111)20:11<S57:EVTPOR>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
WILLINGNESS-TO-PAY; MISSED OPPORTUNITIES; CONTINGENT VALUATION; HEALTH-CARE; LOS-ANGELES; IMMUNIZATION; CHILDREN; PROVIDERS; VACCINATIONS; PREFERENCES;
Keywords:
vaccines; economics; cost-benefit analysis; cost; immunizations; injections;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
45
Recensione:
Indirizzi per estratti:
Indirizzo: Meyerhoff, AS Capitol Outcomes Res Inc, 6188 Old Franconia Rd, Alexandria,VA 22310 USA Capitol Outcomes Res Inc 6188 Old Franconia Rd Alexandria VA USA 22310
Citazione:
A.S. Meyerhoff et al., "Economic value to parents of reducing the pain and emotional distress of childhood vaccine injections", PEDIAT INF, 20(11), 2001, pp. S57-S62

Abstract

Background. One reason that recommended childhood immunizations due at child health visits are deferred is to avoid the pain and emotional; distress associated with the increasing number of injections required. This deferralleads to additional visits and costs and reduced immunoprotection against vaccine-preventable illnesses. To assess the economic value of combination vaccines that address this problem, we surveyed parents to determine the amount they would be willing to pay to avoid the pain and emotional distress experienced by their infants from injections. Methods. A self-administered questionnaire was completed within 24 h of the vaccinations by 294 parents of children ages 1 1/2 to 7 months receiving vaccine injections at 26 outpatient child health centers. The willingness-to-pay (WTP) method was used to estimate the intangible cost of the pain andemotional distress of the 1 to 4 injections their child had received. Parents were asked how much of their own money they would have paid to avoid these injections, without any compromise in the safety and efficacy of the vaccinations. Results. Wide variations in WTP amounts were observed, ranging from medianvalues of 10 to $25 and average values of $57.06 to $79.28 to avoid the pain and emotional distress associated with eliminating all injections at visits in which one to four injections were administered. Parents placed greater value on reductions that avoided all injections than on reductions that avoided only some injections. Overall the median cost per injection avoidedwas $8.14, and the mean was $30.28. Conclusions. Parents have strong preferences for limiting vaccine injections. The economic cost of the pain and distress associated with such injections, reflected in the amounts they report they would be willing to pay to avoid them, represents a substantial component of the cost of disease control through immunization.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 11:12:38