Department of Economics, Fairfield University, Fairfield, Connecticut, USA.
Department of Business Economics, Sacred Heart University, Fairfield, Connecticut, USA.
Health Econ. 2021 Dec;30(12):3123-3137. doi: 10.1002/hec.4432. Epub 2021 Sep 24.
In response to an emerging pandemic, there is urgent need for information regarding individual evaluation of risk and preferences toward mitigation strategies such as vaccinations. However, with social distancing policies and financial stress during an outbreak, traditional robust survey methodologies of face-to-face, probabilistic sampling, may not be feasible to deploy quickly, especially in developing countries. We recommend a protocol that calls for a sensitive survey design, acceptance of a web-based approach and adjustments for uncertainty of respondents, to deliver urgently needed information to policymakers as the public health crisis unfolds, rather than in its aftermath. This information is critical to tailor comprehensive vaccination campaigns that reach critical immunity thresholds. We apply our recommendations in a regional study of 16 Latin American countries in the month following index cases of COVID-19. We use a split-sample, contingent valuation approach to evaluate the effects of cost, duration of immunity and effectiveness of the vaccine. Our results show that cost and duration of immunity are significant factors in the decision to vaccinate, while the degree of effectiveness is insignificant, unless the vaccine is 100% effective. Income as well as perceived risk and severity of the virus are important determinants also.
针对新出现的大流行病,我们迫切需要有关个人风险评估以及对疫苗接种等缓解策略的偏好的信息。然而,在爆发期间实行社交隔离政策和面临财政压力,传统的面对面、概率抽样的稳健调查方法可能无法快速部署,尤其是在发展中国家。我们建议采用一种协议,呼吁采用敏感的调查设计、接受基于网络的方法,并对受访者的不确定性进行调整,以便在公共卫生危机爆发时,而不是在其之后,向决策者提供急需的信息。这些信息对于量身定制全面的疫苗接种运动以达到关键的免疫阈值至关重要。我们在 COVID-19 指数病例出现后的一个月内,对 16 个拉丁美洲国家进行了区域研究,应用了我们的建议。我们使用了分样本、条件价值评估方法来评估成本、免疫持续时间和疫苗有效性的影响。研究结果表明,成本和免疫持续时间是接种疫苗决策的重要因素,而疫苗的有效性程度则不显著,除非疫苗的有效性达到 100%。收入以及对病毒的感知风险和严重程度也是重要的决定因素。