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对 COVID-19 疫苗的支付意愿:应用健康信念模型。

Willingness to pay for COVID-19 vaccines: Applying the health belief model.

机构信息

Department of Clinical Pharmacy and Pharmacy Practice, College of Pharmacy, Yarmouk University, Irbid, 21163, P. O. BOX 566, Jordan.

Department of Clinical Pharmacy and Pharmacy Practice, College of Pharmacy, Yarmouk University, Irbid, 21163, P. O. BOX 566, Jordan; Department of Sociobehavioral and Administrative Pharmacy, College of Pharmacy, Nova Southeastern University, Fort Lauderdale, FL, USA.

出版信息

Res Social Adm Pharm. 2023 Jan;19(1):95-101. doi: 10.1016/j.sapharm.2022.09.003. Epub 2022 Sep 13.

Abstract

BACKGROUND

To date, there is no effective treatment for COVID-19. Vaccines are effective and safe strategies to control the pandemic.

OBJECTIVE

To measure consumers' maximum willingness to pay (WTP) for COVID-19 vaccines in Jordan and to identify the predictors of WTP.

METHOD

An online survey was used to collect data related to sociodemographic factors and constructs from the Health Belief Model (HBM). The contingent valuation method using the payment card approach was used, whereby the respondents were asked to choose their maximum WTP value from a range of 5-200 Jordanian Dinar (JOD). The maximum WTP values were then categorized into several groups, and an ordered logistic model was used to generate adjusted odds ratios and estimate the significant predictors of maximum WTP.

RESULTS

A total of 3116 respondents completed the survey. More than half of the sample were not willing to pay out of pocket for the vaccine (57%). Among the respondents who were willing to pay any amount above zero, the mean maximum WTP was 28.1 JOD (39.63 USD), and the median WTP was 20 JOD (28.21 USD). The significant predictors of higher WTP values were being of younger age, higher income, being a healthcare provider, having one or more chronic diseases, previous history of receiving the seasonal influenza vaccine, having a family member/friend who has died from the COVID-19, lower perceived risk of the vaccine, higher perceived benefits of the vaccine, and having been recommended to get the vaccine.

CONCLUSION

It is recommended to continue providing the vaccine free of charge to increase its uptake. Educational campaigns should focus on refuting myths related to the vaccine and promoting the benefits of receiving the vaccine in slowing the spread of the pandemic, and improving the economy. Healthcare providers' recommendations have the potential to increase WTP for the vaccine.

摘要

背景

迄今为止,尚无针对 COVID-19 的有效治疗方法。疫苗是控制大流行的有效且安全的策略。

目的

测量约旦民众对 COVID-19 疫苗的最大意愿支付(WTP),并确定 WTP 的预测因素。

方法

采用在线调查收集与社会人口统计学因素和健康信念模型(HBM)结构相关的数据。采用支付卡法的条件价值法,要求受访者从 5-200 约旦第纳尔(JOD)的范围内选择其最大 WTP 值。然后将最大 WTP 值分为几类,并使用有序逻辑模型生成调整后的优势比,以估计最大 WTP 的显著预测因素。

结果

共有 3116 名受访者完成了调查。超过一半的样本不愿意自掏腰包接种疫苗(57%)。在愿意支付任何金额的受访者中,平均最大 WTP 为 28.1 JOD(39.63 美元),中位数 WTP 为 20 JOD(28.21 美元)。较高 WTP 值的显著预测因素是年龄较小、收入较高、是医疗保健提供者、患有一种或多种慢性病、以前曾接种过季节性流感疫苗、有家庭成员/朋友死于 COVID-19、对疫苗的风险感知较低、对疫苗的益处感知较高,以及已被建议接种疫苗。

结论

建议继续免费提供疫苗,以提高其接种率。教育宣传活动应重点驳斥与疫苗相关的谣言,并宣传接种疫苗在减缓大流行传播和改善经济方面的益处。医疗保健提供者的建议有可能增加对疫苗的 WTP。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3343/9472461/9fe9cf6b7f24/fx1_lrg.jpg

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