Economic evaluation of vaccination against COVID‐19: A systematic review

Abstract Background and Aims Coronavirus has burdened considerable expenditures on the different health systems. Vaccination programs, the critical solution against pandemic diseases, are known as safe and effective interventions to prevent and control epidemics. We aimed to perform a systematic rev...

Full description

Bibliographic Details
Main Authors: Dolatshahi Zeinab, Nargesi Shahin, Mezginejad Fateme, Bagheri Faradonbeh Saeed
Format: Article
Language:English
Published: Wiley 2024-02-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.1871
_version_ 1797221157314756608
author Dolatshahi Zeinab
Nargesi Shahin
Mezginejad Fateme
Bagheri Faradonbeh Saeed
author_facet Dolatshahi Zeinab
Nargesi Shahin
Mezginejad Fateme
Bagheri Faradonbeh Saeed
author_sort Dolatshahi Zeinab
collection DOAJ
description Abstract Background and Aims Coronavirus has burdened considerable expenditures on the different health systems. Vaccination programs, the critical solution against pandemic diseases, are known as safe and effective interventions to prevent and control epidemics. We aimed to perform a systematic review to provide economic evidence of the value of different types of vaccines available to combat the Covid‐19 to all health policymakers worldwide. Methods Electronic searches conducted on Medline/PubMed, Cochrane Library, Web of Science, Scopus, Embase, and other economic evaluation databases. Related and published articles searched up to March 2022 by using keywords such as “Vaccination,” “Covid‐19,” “Cost‐benefit,” “Cost‐utility,” “Cost‐effectiveness,” “Economic Assessment,” and “Economic evaluation.” Followed by choosing the most suitable articles according to inclusion and exclusion criteria, data captured and the results extracted. The quality assessment of the articles performed by the checklist of CHEERS 2022. Finally, 13 articles included in the review. Results All messenger RNA vaccines were dominant with approximately 70% coverage against no vaccination in the primary vaccination program except in one study that looked at booster effects. From a payer's perspective, a dollar invested in a vaccine would be less profitable than from a societal perspective. Therefore, primary mass vaccination can be considered a cost‐effective intervention in primary vaccination to save more lives and produce more positive externalities. However, the cost‐benefit ratio for all vaccines increases when statistical lifetime value and global economic and educational disadvantages are considered. Conclusion The COVID‐19 primary vaccination programs in regional outbreaks, from a long‐term perspective, will demonstrate substantial cost‐effectiveness. It is suggested that due to the positive externalities of vaccination, primary mass vaccination, with the help of COVAX‐19TM, could be considered a reliable way to combat viral epidemics compared to the loss of individual lives and economic and educational disturbances around the world.
first_indexed 2024-03-07T19:01:32Z
format Article
id doaj.art-9287b5366e984729b86b4bf10e42da02
institution Directory Open Access Journal
issn 2398-8835
language English
last_indexed 2024-04-24T13:00:58Z
publishDate 2024-02-01
publisher Wiley
record_format Article
series Health Science Reports
spelling doaj.art-9287b5366e984729b86b4bf10e42da022024-04-05T11:41:32ZengWileyHealth Science Reports2398-88352024-02-0172n/an/a10.1002/hsr2.1871Economic evaluation of vaccination against COVID‐19: A systematic reviewDolatshahi Zeinab0Nargesi Shahin1Mezginejad Fateme2Bagheri Faradonbeh Saeed3Department of Health Policy, School of Health Management and Information Sciences Iran University of Medical Sciences Tehran IranDepartment of Health Management and Economics, Faculty of Health Ilam University of Medical Sciences Ilam IranDepartment of Hematology, School of Allied Medicine, Cellular and Molecular Research Center Birjand University of Medical Sciences Birjan IranDepartment of Health Services Management, School of Health Ahvaz Jundishapur University of Medical Science Ahvaz IranAbstract Background and Aims Coronavirus has burdened considerable expenditures on the different health systems. Vaccination programs, the critical solution against pandemic diseases, are known as safe and effective interventions to prevent and control epidemics. We aimed to perform a systematic review to provide economic evidence of the value of different types of vaccines available to combat the Covid‐19 to all health policymakers worldwide. Methods Electronic searches conducted on Medline/PubMed, Cochrane Library, Web of Science, Scopus, Embase, and other economic evaluation databases. Related and published articles searched up to March 2022 by using keywords such as “Vaccination,” “Covid‐19,” “Cost‐benefit,” “Cost‐utility,” “Cost‐effectiveness,” “Economic Assessment,” and “Economic evaluation.” Followed by choosing the most suitable articles according to inclusion and exclusion criteria, data captured and the results extracted. The quality assessment of the articles performed by the checklist of CHEERS 2022. Finally, 13 articles included in the review. Results All messenger RNA vaccines were dominant with approximately 70% coverage against no vaccination in the primary vaccination program except in one study that looked at booster effects. From a payer's perspective, a dollar invested in a vaccine would be less profitable than from a societal perspective. Therefore, primary mass vaccination can be considered a cost‐effective intervention in primary vaccination to save more lives and produce more positive externalities. However, the cost‐benefit ratio for all vaccines increases when statistical lifetime value and global economic and educational disadvantages are considered. Conclusion The COVID‐19 primary vaccination programs in regional outbreaks, from a long‐term perspective, will demonstrate substantial cost‐effectiveness. It is suggested that due to the positive externalities of vaccination, primary mass vaccination, with the help of COVAX‐19TM, could be considered a reliable way to combat viral epidemics compared to the loss of individual lives and economic and educational disturbances around the world.https://doi.org/10.1002/hsr2.1871cost‐benefit analysiscost‐effectiveness analysiscost‐utility analysisCOVID‐19vaccine
spellingShingle Dolatshahi Zeinab
Nargesi Shahin
Mezginejad Fateme
Bagheri Faradonbeh Saeed
Economic evaluation of vaccination against COVID‐19: A systematic review
Health Science Reports
cost‐benefit analysis
cost‐effectiveness analysis
cost‐utility analysis
COVID‐19
vaccine
title Economic evaluation of vaccination against COVID‐19: A systematic review
title_full Economic evaluation of vaccination against COVID‐19: A systematic review
title_fullStr Economic evaluation of vaccination against COVID‐19: A systematic review
title_full_unstemmed Economic evaluation of vaccination against COVID‐19: A systematic review
title_short Economic evaluation of vaccination against COVID‐19: A systematic review
title_sort economic evaluation of vaccination against covid 19 a systematic review
topic cost‐benefit analysis
cost‐effectiveness analysis
cost‐utility analysis
COVID‐19
vaccine
url https://doi.org/10.1002/hsr2.1871
work_keys_str_mv AT dolatshahizeinab economicevaluationofvaccinationagainstcovid19asystematicreview
AT nargesishahin economicevaluationofvaccinationagainstcovid19asystematicreview
AT mezginejadfateme economicevaluationofvaccinationagainstcovid19asystematicreview
AT bagherifaradonbehsaeed economicevaluationofvaccinationagainstcovid19asystematicreview