期刊
VACCINE
卷 34, 期 47, 页码 5724-5735出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.vaccine.2016.10.013
关键词
Influenza vaccination; Subsidization policy; Financial management; China
资金
- National Science Fund for Distinguished Young Scholars [81525023]
- US National Institutes of Health (Comprehensive International Program for Research on AIDS) [U19 AI51915]
Background: To explore the current landscape of seasonal influenza vaccination across China, and estimate the budget of implementing a national free-at-the-point-of-care vaccination program for priority populations recommended by the World Health Organization. Methods: In 2014 and 2016, we conducted a survey across provincial Centers for Disease Control and Prevention to collect information on regional reimbursement policies for influenza vaccination, estimated the national uptake using distributed doses of influenza vaccines, and evaluated the budget using population size and vaccine cost obtained from official websites and literatures. Results: Regular reimbursement policies for influenza vaccination are available in 61 mutually exclusive regions, comprising 8 provinces, 45 prefectures, and 8 counties, which were reimbursed by the local Government Financial Department or Basic Social Medical Insurance (BSMI). Finance-reimbursed vaccination was offered mainly for the elderly, and school children for free in Beijing, Dongli district in Tianjin, Karamay, Shenzhen and Xinxiang cities. BSMI-reimbursement policies were limited to specific medical insurance beneficiaries with distinct differences in the reimbursement fractions. The average national vaccination coverage was just 1.5-2.2% between 2004 and 2014. A free national vaccination program for priority populations (n = 416 million), would cost government US$ 757 million (95% CI 7267-89) annually (uptake rate = 20%). Conclusions: An increasing number of regional governments have begun to pay, partially or fully, for influenza vaccination for selected groups. However, this small-scale policy approach has failed to increase national uptake. A free, nationwide vaccination program would require a substantial annual investment. A cost-effectiveness analysis is needed to identify the most efficient methods to improve coverage. (C) 2016 The Authors. Published by Elsevier Ltd.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据