Medical Research Unit, School of Medicine, Syiah Kuala University, Banda Aceh, Aceh 23111, Indonesia; Tropical Disease Centre, School of Medicine, Syiah Kuala University, Banda Aceh, Aceh 23111, Indonesia; Department of Microbiology, School of Medicine, Syiah Kuala University, Banda Aceh, Aceh 23111, Indonesia.
Department of Epidemiology, University of Michigan, Ann Arbor, MI 48109, USA.
Vaccine. 2020 Oct 7;38(43):6800-6806. doi: 10.1016/j.vaccine.2020.08.034. Epub 2020 Aug 27.
BACKGROUND: A clinical trial is ongoing to evaluate the safety and efficacy of a monkeypox vaccine among healthcare workers (HCWs). The critical question that needs to be addressed is whether HCWs are willing to accept and purchase this vaccine. The objective of this study was to evaluate the acceptance and willingness to pay (WTP) for the vaccine among HCWs. METHODS: From May to July 2019, a cross-sectional study was conducted among registered general practitioners (GPs) in Indonesia. A contingent valuation method was employed to evaluate the WTP. Besides acceptance and WTP, various explanatory variables were also collected and assessed. A logistic regression and a multivariable linear regression were used to explore the explanatory variables influencing acceptance and WTP, respectively. RESULTS: Among 407 respondents, 391 (96.0%) expressed acceptance of a free vaccination. The mean and median WTP was US$ 37.0(95%CI:US$ 32.76-US$ 41.23) and US$ 17.90(95%CI:US$ 17.90-US$ 17.90), respectively. In an unadjusted analysis, those 30 years old or younger had 2.94 times greater odds of vaccine acceptance compared to those who were older (95%CI: 1.07-8.08). Location of alma mater, type of workplace, length of individual medical experience, and monthly income of GPs were all significantly associated with WTP. CONCLUSION: Although the vast majority of GPs would accept a freely provided vaccine, they were also somewhat price sensitive. This finding indicates that partial subsidy maybe required to achieve high vaccine coverage, particularly among GPs at community health centres or those with a shorter duration of medical practice.
背景:一项正在进行的临床试验旨在评估一种猴痘疫苗在医护人员(HCWs)中的安全性和有效性。需要解决的关键问题是 HCWs 是否愿意接受和购买这种疫苗。本研究的目的是评估 HCWs 对该疫苗的接受程度和支付意愿(WTP)。
方法:2019 年 5 月至 7 月,在印度尼西亚对注册全科医生(GPs)进行了一项横断面研究。采用条件价值评估法评估 WTP。除了接受度和 WTP 之外,还收集和评估了各种解释变量。使用逻辑回归和多变量线性回归分别探讨影响接受度和 WTP 的解释变量。
结果:在 407 名受访者中,391 名(96.0%)表示愿意接受免费接种。平均和中位数 WTP 分别为 37.0 美元(95%CI:32.76-41.23 美元)和 17.90 美元(95%CI:17.90-17.90 美元)。在未调整分析中,30 岁或以下的人比年龄较大的人更有可能接受疫苗,其接种意愿是年龄较大者的 2.94 倍(95%CI:1.07-8.08)。母校所在地、工作场所类型、个人医疗经验年限和全科医生的月收入均与 WTP 显著相关。
结论:尽管绝大多数全科医生愿意接受免费提供的疫苗,但他们也对价格有些敏感。这一发现表明,为了实现高疫苗接种率,可能需要部分补贴,尤其是在社区卫生中心工作的全科医生或医疗实践时间较短的全科医生。
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