Literature review of the decision-­‐making determinants related to the influenza vaccination policy

Maria-Laura Silva (), Lionel Perrier, Jean Marie Cohen, Anne Mosnier, John Paget and Hans-Martin Späth
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Maria-Laura Silva: Centre Léon Bérard [Lyon], GATE Lyon Saint-Étienne - Groupe d'Analyse et de Théorie Economique Lyon - Saint-Etienne - ENS de Lyon - École normale supérieure de Lyon - Université de Lyon - UL2 - Université Lumière - Lyon 2 - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon - UJM - Université Jean Monnet - Saint-Étienne - CNRS - Centre National de la Recherche Scientifique
Jean Marie Cohen: GROG - Réseau des Groupes Régionaux d'Observation de la Grippe - Coordination nationale
Anne Mosnier: GROG - Réseau des Groupes Régionaux d'Observation de la Grippe - Coordination nationale
John Paget: Netherlands Institute for Health Services Research - Netherlands Institute for Health Services Research
Hans-Martin Späth: SIS - Santé Individu Société - UL2 - Université Lumière - Lyon 2 - UJML - Université Jean Moulin - Lyon 3 - Université de Lyon - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon - HCL - Hospices Civils de Lyon - UJM - Université Jean Monnet - Saint-Étienne - INSERM - Institut National de la Santé et de la Recherche Médicale

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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; public health policy; influenza vaccination (search for similar items in EconPapers)
Date: 2013-04-05
New Economics Papers: this item is included in nep-cdm
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Working Paper: Literature review of the decision-making determinants related to the influenza vaccination policy (2013)
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