PARENTAL PREFERENCES FOR ROTAVIRUS VACCINATION AND POTENTIAL VACCINATION COVERAGEIN YOUNG CHILDREN- A DISCRETE CHOICE EXPERIMENT
Author(s)
Veldwijk J*1;Lambooij MS2;Bruijning-Verhagen PCJ3;Smit HA3, de Wit GA4 1National institute for public health and the environment, Bilthoven, Netherlands, 2National Institute of Public Health and the Environment, Bilthoven, Netherlands, 3University Medical Center Utrecht, Utrecht, Netherlands, 4National Institute for Public Health and the Environment, Bilthoven, Netherlands
OBJECTIVES: To determine parental preferences concerning rotavirus vaccination for their newborn baby, and to calculate the potential vaccination coverage for different vaccine scenarios. METHODS: A Discrete Choice Experiment (DCE) questionnaire was sent to the parents of 1,250 newborns aged 6 weeks in the Netherlands. The DCE included nine D-efficient designed choice tasks. Panel-mixed-logit models were used to estimate the relative importance of the five included rotavirus vaccine attributes; vaccine effectiveness, frequency of severe side effects, protection duration, location of vaccine administration, out-of-pocket costs. The potential uptake or vaccine coverage was calculated for different vaccine scenarios. RESULTS: All attributes showed a significant estimate (P<.05). Parents were more likely to get their newborn vaccinated if the vaccine effectiveness increased, parents preferred a frequency of 1 in 1,000,000 children that suffer from severe side effects over a frequency of 1 in 10,000. Protection duration of 3 years was preferred over 1 year and parents preferred to get their child vaccinated at the GP’s office. Finally, increasing out-of-pocket costs were associated with decreased willingness to vaccinate. With respect to the relative importance of these attributes, vaccine effectiveness was most decisive for parents, followed by out-of-pocket costs, protection duration and frequency of severe side effects. Vaccination coverage rates ranged between 22.8% for the least preferred vaccine scenario and 87.5% for the most preferred scenario. CONCLUSIONS: When deciding whether to vaccinate their newborn baby against the rotavirus, parents are mostly driven by the effectiveness of the vaccine, the out-of-pocket costs, protection duration and the frequency of severe side effects. Differences in vaccine scenarios resulted in a large range in expected vaccination coverage. Therefore, the context and content of the implementation strategy of the vaccination is expected to strongly affect the vaccination coverage. Specifically requesting an out-of-pocket payment of parents should be considered carefully if a high vaccine coverage is desired.
Conference/Value in Health Info
2013-11, ISPOR Europe 2013, The Convention Centre Dublin
Value in Health, Vol. 16, No. 7 (November 2013)
Code
PIN119
Topic
Patient-Centered Research
Topic Subcategory
Stated Preference & Patient Satisfaction
Disease
Infectious Disease (non-vaccine), Vaccines