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Literature review of the decision-­‐making determinants related to the influenza vaccination policy

  • Maria-Laura Silva

    (GATE Lyon Saint-Etienne - Groupe d'analyse et de théorie économique - CNRS : UMR5824 - Université Lumière - Lyon II - École Normale Supérieure - Lyon, Centre Léon Bérard - CRLCC Léon Bérard)

  • Lionel Perrier

    (GATE Lyon Saint-Etienne - Groupe d'analyse et de théorie économique - CNRS : UMR5824 - Université Lumière - Lyon II - École Normale Supérieure - Lyon)

  • Jean Marie Cohen

    (GROG - Réseau des Groupes Régionaux d'Observation de la Grippe - Coordination nationale)

  • Anne Mosnier

    (GROG - Réseau des Groupes Régionaux d'Observation de la Grippe - Coordination nationale)

  • John Paget

    (Netherlands Institute for Health Services Research - Netherlands Institute for Health Services Research)

  • Hans-Martin Späth

    (Institut des Sciences Pharmaceutiques et Biologiques - Université Claude Bernard - Lyon I)

Registered author(s):

    Background : Seasonal influenza concerns the worldwide population every year, whilst pandemic influenza is an unpredictable threat. Due to an important socioeconomic impact, mitigation measures must be specified. Governments elaborate vaccination policy based on scientific evidence. However, this process is, in general, not transparent. Objectives : To study the decision-making process related to the influenza vaccination policy, identifying the actors involved, the decisions made and describing the information used by type and level of importance. Methods : Six major databases were searched in seven languages, without time limit, using keywords related to influenza vaccination, decision-making and health policy. Titles and abstracts were screened according to three established criteria. Selected articles were analysed and compared against a checklist for context, stakeholders and evidence. Results : 111 articles were retrieved since the 1990s, most of them (40%) were conducted in the USA. The decision-making process mainly concerned vaccination strategies (53%) and pandemic preparedness (28%). Stakeholders were identified at an institutional, production and consumer level. Evidence used by policy-makers was similar (e.g. logistics of vaccines), but the factors influencing were different (e.g. social conditions). Conclusion : Considering the imminent risk of socio-economic disruption and media pressure, the pandemic threat needs to be integrated into an analysis of decision making processes regarding seasonal influenza vaccination.

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    Date of creation: 05 Apr 2013
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    Handle: RePEc:hal:wpaper:halshs-00808536
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