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Determinants of willingness to pay for self-paid vaccines in China
Hou, Zhiyuan1; Chang, Jie2; Yue, Dahai1; Fang, Hai1; Meng, Qingyue1; Zhang, Yuting3
关键词Self-paid Vaccines Willingness To Pay Economic Factors Psychosocial Factors
刊名VACCINE
2014-07-31
DOI10.1016/j.vaccine.2014.06.047
32期:35页:4471-4477
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Immunology ; Medicine, Research & Experimental
研究领域[WOS]Immunology ; Research & Experimental Medicine
关键词[WOS]INFLUENZA VACCINATION ; CONTINGENT VALUATION ; PANDEMIC INFLUENZA ; PREGNANT-WOMEN ; BURKINA-FASO ; HEPATITIS-B ; HEALTH-CARE ; HPV ; CHILDREN ; PREDICTORS
英文摘要

Background: While vaccines not covered by China′s Expanded Program on Immunization can be received voluntarily with out-of-pocket payment, the uptake of self-paid vaccines in China is low.

Objective: To investigate willingness to pay (WTP) for self-paid vaccines and its determinants in China.

Methods: We interviewed 2160 randomly selected households with children 0-3 years old, in 108 communities from three provinces in 2013. A bidding game method was used to elicit WTP for two self-paid vaccines: 7-valent pneumococcal conjugate vaccine and influenza vaccine. We conducted multivariate linear regressions to determine factors affecting the WTP.

Results: Median WTP for pneumococcal conjugate vaccine and influenza vaccine were Chinese Yuan 200 and 60 (10 US Dollars). 92% and 55% of respondents, respectively were not willing to pay the market price for these two vaccines. Lower price barrier and higher ability to pay were associated with higher WTP. Those with better vaccine or disease-related knowledge, higher perceived vulnerability and severity of diseases were willing to pay more. However, perceived effectiveness and safety barriers to vaccination had no significant effects on the WTP. Recommendations from peers and healthcare providers increased the WTP. Fathers and grand parents of children had a higher WTP than their mothers. The WTP decreased with age, but was not affected by education and occupation.

Conclusions: The majority of individuals, in our study, were not willing to pay the market price for self-paid vaccines against high-burden diseases in China. The economic barriers to vaccination should therefore be removed to increase the demand. Region-specific information about disease burden, fiscal capacity and cost-effectiveness is important for the development of local financing policy in order to cover vaccination costs. Interventions targeting psychosocial factors, such as health education and communication with providers and peers, could also be effective in increasing the uptake of these vaccinations. (C) 2014 Elsevier Ltd. All rights reserved.

语种英语
WOS记录号WOS:000340141200016
项目编号2012M520132 ; 2013T60046 ; 71373013
资助机构China Disease Prevention and Control Bureau ; Postdoctoral Science Foundation of China ; National Natural Science Foundation of China
引用统计
被引频次:17[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/51630
专题北京大学中国卫生发展研究中心
北京大学医学部管理机构_医学部
作者单位1.Peking Univ, China Ctr Hlth Dev Studies, Beijing 100191, Peoples R China
2.Shandong Univ, Ctr Hlth Management & Policy, Jinan 250012, Peoples R China
3.Univ Pittsburgh, Grad Sch Publ Hlth, Dept Hlth Policy & Management, Pittsburgh, PA 15261 USA
推荐引用方式
GB/T 7714
Hou, Zhiyuan,Chang, Jie,Yue, Dahai,et al. Determinants of willingness to pay for self-paid vaccines in China[J]. VACCINE,2014,32(35):4471-4477.
APA Hou, Zhiyuan,Chang, Jie,Yue, Dahai,Fang, Hai,Meng, Qingyue,&Zhang, Yuting.(2014).Determinants of willingness to pay for self-paid vaccines in China.VACCINE,32(35),4471-4477.
MLA Hou, Zhiyuan,et al."Determinants of willingness to pay for self-paid vaccines in China".VACCINE 32.35(2014):4471-4477.
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