Parental Preferences for the Organization of Preschool Vaccination Programs Including Financial Incentives: A Discrete Choice Experiment.

IF 1.7
MDM policy & practice Pub Date : 2017-05-23 eCollection Date: 2017-01-01 DOI:10.1177/2381468317708319
Darren Flynn, Laura Ternent, Frauke Becker, Yemi Oluboyede, Jean Adams
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Abstract

Objective: To establish preferences of parents and guardians of preschool children for the organization of preschool vaccination services, including financial incentives. Design: An online discrete choice experiment. Participants: Parents and guardians of preschool children (up to age 5 years) who were (n = 259) and were not (n = 262) classified as at high risk of incompletely vaccinating their children. High risk of incomplete vaccination was defined as any of the following: aged less than 20 years, single parents, living in one of the 20% most deprived areas in England, had a preschool child with a disability, or had more than three children. Main Outcome Measures: Participant preferences expressed as positive (utility) or negative (disutility) on eight attributes and levels describing the organization of preschool vaccination programs. Results: There was no difference in preference for parental financial incentives compared to no incentive in parents "not at high risk" of incomplete vaccination. Parents who were "at high risk" expressed utility for cash incentives. Parents "at high risk" of incomplete vaccination expressed utility for information on the risks and benefits of vaccinations to be provided as numbers rather than charts or pictures. Both groups preferred universally available, rather than targeted, incentives. Utility was identified for shorter waiting times, and there were variable preferences for who delivered vaccinations. Conclusions: Cash incentives for preschool vaccinations in England would be welcomed by parents who are "at high risk" of incompletely vaccinating their children. Further work is required on the optimal mode and form of presenting probabilistic information on vaccination to parents/guardians, including preferences on mandatory vaccination schemes.

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父母对包括经济激励在内的学前疫苗接种计划组织的偏好:一个离散选择实验。
目的:了解学龄前儿童家长和监护人对组织学前疫苗接种服务的偏好,包括经济激励。设计:一个在线离散选择实验。参与者:学龄前儿童(5岁以下)的父母和监护人,他们(n = 259)和(n = 262)被划分为不完全接种疫苗的高危人群。疫苗接种不完全的高风险被定义为以下任何一种:年龄小于20岁,单亲父母,生活在英格兰20%最贫困的地区之一,有一名学龄前残疾儿童,或有三个以上的孩子。主要结果测量:参与者的偏好在描述学前疫苗接种计划组织的八个属性和水平上表达为积极(效用)或消极(负效用)。结果:在不完全接种疫苗的“非高风险”父母中,父母经济奖励与无奖励的偏好没有差异。“高风险”的父母则表示愿意接受现金奖励。处于不完全疫苗接种“高风险”的家长表示,希望以数字而不是图表或图片的形式提供有关疫苗接种风险和益处的信息。两组人都更喜欢普遍可用的激励措施,而不是有针对性的激励措施。效用被确定为更短的等待时间,并且对谁提供疫苗接种有不同的偏好。结论:在英国,对学龄前儿童接种疫苗的现金奖励将受到那些“高风险”的父母的欢迎,因为他们的孩子没有完全接种疫苗。需要进一步研究向父母/监护人提供关于疫苗接种的概率信息的最佳模式和形式,包括对强制性疫苗接种计划的偏好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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