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有吸引力的流感疫苗接种:提高流感疫苗接种率的行为方法。

Attractive Flu Shot: A Behavioral Approach to Increasing Influenza Vaccination Uptake Rates.

机构信息

University of Haifa, Haifa, IL, Israel.

Tel Aviv University and Sarid Research Services, Tel Aviv, IL, Israel.

出版信息

Med Decis Making. 2020 Aug;40(6):774-784. doi: 10.1177/0272989X20944190. Epub 2020 Aug 8.

Abstract

We suggest and examine a behavioral approach to increasing seasonal influenza vaccine uptake. Our idea combines behavioral effects generated by a dominated option, together with more traditional tools, such as providing information and recommendations. Making use of the seasonal nature of the flu, our treatments present participants with 2 options to receive the shot: early in the season, which is recommended and hence "attractive," or later. Three additional layers are examined: 1) mentioning that the vaccine is more likely to run out of stock late in the season, 2) the early shot is free while the late one costs a fee, and 3) the early shot carries a monetary benefit. We compare vaccination intentions in these treatments to those of a control group who were invited to receive the shot regardless of timing. Using a sample of the Israeli adult population ( = 3271), we found positive effects of all treatments on vaccination intentions, and these effects were significant for 3 of the 4 treatments. In addition, the vast majority of those who are willing to vaccinate intend to get the early shot. Introducing 2 options to get vaccinated against influenza (early or late) positively affects intentions to receive the flu shot. In addition, this approach nudges participants to take the shot in early winter, a timing that has been shown to be more cost-effective.

摘要

我们提出并检验了一种提高季节性流感疫苗接种率的行为方法。我们的想法结合了被主导选项产生的行为效应,以及更传统的工具,如提供信息和建议。利用流感的季节性,我们的治疗方案为参与者提供了 2 种接种疫苗的选择:在季节早期,这是推荐的,因此是“有吸引力的”,或者在后期。我们还研究了另外 3 个层面:1)提到疫苗在季节后期更有可能缺货,2)早期接种免费,而晚期接种需要付费,3)早期接种有货币收益。我们将这些治疗方案中的接种意愿与对照组进行了比较,对照组无论时间如何都被邀请接种疫苗。使用以色列成年人样本(n=3271),我们发现所有治疗方案都对接种意愿产生了积极影响,其中 4 种治疗方案中有 3 种的影响显著。此外,绝大多数愿意接种疫苗的人都打算接种早期疫苗。引入接种流感疫苗的 2 种选择(早期或晚期)会积极影响接种疫苗的意愿。此外,这种方法促使参与者在初冬接种疫苗,这种时间已被证明更具成本效益。

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