Pay-it-forward influenza vaccination among older adults and children: A cost-effectiveness analysis in China

A quasi-experimental study was conducted to evaluate the effectiveness of a pay-it-forward strategy for increasing influenza vaccination among children and older adults compared to a self-paid vaccination strategy in China. Pay-it-forward is an innovative community-engaged intervention in which part...

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Main Authors: Fanny Fong-Yi Tang, Priya Kosana, Mark Jit, Fern Terris-Prestholt, Dan Wu, Jason J. Ong, Joseph D. Tucker
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLOS Global Public Health
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470923/?tool=EBI
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author Fanny Fong-Yi Tang
Priya Kosana
Mark Jit
Fern Terris-Prestholt
Dan Wu
Jason J. Ong
Joseph D. Tucker
author_facet Fanny Fong-Yi Tang
Priya Kosana
Mark Jit
Fern Terris-Prestholt
Dan Wu
Jason J. Ong
Joseph D. Tucker
author_sort Fanny Fong-Yi Tang
collection DOAJ
description A quasi-experimental study was conducted to evaluate the effectiveness of a pay-it-forward strategy for increasing influenza vaccination among children and older adults compared to a self-paid vaccination strategy in China. Pay-it-forward is an innovative community-engaged intervention in which participants receive a free influenza vaccination and are then asked if they would like to donate or create a message to support subsequent vaccinations. This economic evaluation used a decision-tree model to compare pay-it-forward to a standard of care arm in which patients had to pay for their own influenza vaccine. The analysis was performed from the healthcare provider perspective and costs were calculated with 2020 United States dollars. The time horizon was one year. In the base case analysis, pay-it-forward was more effective (111 vs 55 people vaccinated) but more costly than standard-of-care ($4477 vs $2725). Pay-it-forward spurred 96.4% (107/111) of individuals to voluntarily donate to support influenza vaccination for high-risk groups in China. Further costing and implementation research is needed to inform scale up.
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spelling doaj.art-cd7574e6bc7242ae9e89cb3d94c240802023-09-07T06:23:32ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752023-01-0138Pay-it-forward influenza vaccination among older adults and children: A cost-effectiveness analysis in ChinaFanny Fong-Yi TangPriya KosanaMark JitFern Terris-PrestholtDan WuJason J. OngJoseph D. TuckerA quasi-experimental study was conducted to evaluate the effectiveness of a pay-it-forward strategy for increasing influenza vaccination among children and older adults compared to a self-paid vaccination strategy in China. Pay-it-forward is an innovative community-engaged intervention in which participants receive a free influenza vaccination and are then asked if they would like to donate or create a message to support subsequent vaccinations. This economic evaluation used a decision-tree model to compare pay-it-forward to a standard of care arm in which patients had to pay for their own influenza vaccine. The analysis was performed from the healthcare provider perspective and costs were calculated with 2020 United States dollars. The time horizon was one year. In the base case analysis, pay-it-forward was more effective (111 vs 55 people vaccinated) but more costly than standard-of-care ($4477 vs $2725). Pay-it-forward spurred 96.4% (107/111) of individuals to voluntarily donate to support influenza vaccination for high-risk groups in China. Further costing and implementation research is needed to inform scale up.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470923/?tool=EBI
spellingShingle Fanny Fong-Yi Tang
Priya Kosana
Mark Jit
Fern Terris-Prestholt
Dan Wu
Jason J. Ong
Joseph D. Tucker
Pay-it-forward influenza vaccination among older adults and children: A cost-effectiveness analysis in China
PLOS Global Public Health
title Pay-it-forward influenza vaccination among older adults and children: A cost-effectiveness analysis in China
title_full Pay-it-forward influenza vaccination among older adults and children: A cost-effectiveness analysis in China
title_fullStr Pay-it-forward influenza vaccination among older adults and children: A cost-effectiveness analysis in China
title_full_unstemmed Pay-it-forward influenza vaccination among older adults and children: A cost-effectiveness analysis in China
title_short Pay-it-forward influenza vaccination among older adults and children: A cost-effectiveness analysis in China
title_sort pay it forward influenza vaccination among older adults and children a cost effectiveness analysis in china
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470923/?tool=EBI
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