Consequences of a shortage and rationing: Evidence from a pediatric vaccine

Eli Liebman, Emily C. Lawler, Abe Dunn and David Ridley

Journal of Health Economics, 2023, vol. 92, issue C

Abstract: Shortages and rationing are common in health care, yet we know little about the consequences. We examine an 18-month shortage of the pediatric Haemophilus Influenzae Type B (Hib) vaccine. Using insurance claims data and variation in shortage exposure across birth cohorts, we find that the shortage reduced uptake of high-value primary doses by 4 percentage points and low-value booster doses by 26 percentage points. This suggests providers largely complied with rationing recommendations. In the long-run, catch-up vaccination occurred but was incomplete: shortage-exposed cohorts were 4 percentage points less likely to have received the ir booster dose years later. We also find that the shortage and rationing caused provider switches, extra provider visits, and negative spillovers to other care.

Keywords: Rationing; Shortage; Vaccine; Haemophilus Influenzae Type B (search for similar items in EconPapers)
JEL-codes: I12 I18 L65 (search for similar items in EconPapers)
Date: 2023
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
http://www.sciencedirect.com/science/article/pii/S0167629623000966
Full text for ScienceDirect subscribers only

Related works:
Working Paper: Consequences of a Shortage and Rationing: Evidence from a Pediatric Vaccine (2023)
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:eee:jhecon:v:92:y:2023:i:c:s0167629623000966

DOI: 10.1016/j.jhealeco.2023.102819

Access Statistics for this article

Journal of Health Economics is currently edited by J. P. Newhouse, A. J. Culyer, R. Frank, K. Claxton and T. McGuire

More articles in Journal of Health Economics from Elsevier
Bibliographic data for series maintained by Catherine Liu ().