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 Spath
Additional contact information
Maria Laura Silva: Université de Lyon, Lyon, F-69007, France ; CNRS, GATE Lyon St Etienne,F-69130 Ecully, France ; OPEN ROME; Coordination Nationale des Groupes Régionaux d’Observation de la Grippe,Réseau des GROG,Paris, France
Jean Marie Cohen: OPEN ROME; Coordination Nationale des Groupes Régionaux d’Observation de la Grippe,Réseau des GROG,Paris, France
Anne Mosnier: OPEN ROME; Coordination Nationale des Groupes Régionaux d’Observation de la Grippe,Réseau des GROG,Paris, France
John Paget: Netherlands Institute For Health Services Research (NIVEL),Utrecht, The Netherlands
Hans Martin Spath: University of Lyon; University Claude Bernard, Lyon 1 EAM 4128, Lyon, France

No 1317, Working Papers from Groupe d'Analyse et de Théorie Economique Lyon St-Étienne (GATE Lyon St-Étienne), Université de Lyon

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 (search for similar items in EconPapers)
JEL-codes: C91 D90 (search for similar items in EconPapers)
Date: 2013
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Working Paper: Literature review of the decision-­‐making determinants related to the influenza vaccination policy (2013)
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