Impacts of expanding provider choice for free flu vaccination among the elderly in Korea

Hansoo Ko and Mhinjine Kim

Health Policy, 2020, vol. 124, issue 10, 1115-1120

Abstract: The Korean government, to increase the vaccination rates, implemented the policy expanding provider choice for free seasonal influenza vaccine for the elderly through contracting the provision of immunization to the private sector in 2015. Using the annual nationally representative individual between 2014–2017, this study explores the impacts of the policy change by using a difference-in-differences approach. Results show that influenza vaccine uptake at private clinics increases by 12 percentage points after the policy change. However, this effect is offset by a reduction in uptake at public health centers by 13 percentage points. As a result, we find no evidence that the policy increases overall vaccination coverage among the elderly. These results indicate that policymakers need to explore the reasons for vaccine hesitancy before delivering interventions.

Keywords: Vaccination; Seasonal influenza; Contracting out; Crowd-out (search for similar items in EconPapers)
Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:124:y:2020:i:10:p:1115-1120

DOI: 10.1016/j.healthpol.2020.07.014

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