The views of the general public on prioritising vaccination programmes against childhood diseases: A qualitative study
Open Access
- 13 June 2018
- journal article
- research article
- Published by Public Library of Science (PLoS) in PLOS ONE
- Vol. 13 (6), e0197374
- https://doi.org/10.1371/journal.pone.0197374
Abstract
Decisions regarding which vaccines are funded in the United Kingdom (UK) are increasingly informed by cost-effectiveness analyses. Such analyses use Quality Adjusted Life Years (QALYs) as a measure of effectiveness and assume that QALYs are equal regardless of where and in whom they occur in the population. However, there is increasing debate about whether this QALY approach is appropriate and whether societal preferences for childhood vaccinations should be used to help inform childhood immunisation policy. To gauge the general public’s preferences for prioritising certain characteristics of childhood vaccination, to help inform future policy making decisions in the UK. Qualitative design using individual face-to-face interviews, with data analysed using an inductive thematic framework approach. Two counties in England, UK. Adult members of the general public were recruited using the Bristol and South Gloucestershire open electoral registers, using gender and deprivation quotas for each area. 21 members of the public participated in qualitative interviews. The qualitative research identified three major themes and several key attributes that influences participant’s opinions about priority setting for childhood vaccinations: (1) population segment (i.e. age group, carer impact and social group), (2) vaccine preventable diseases preferences (i.e. disease severity, disease incidence and declining infection) and (3) risks and benefits associated with childhood vaccinations (i.e. vaccine associated side-effects, herd protection and peace of mind). Evidence from this qualitative study suggests that some members of the UK general public have more nuanced views than the health-maximisation approach when considering how childhood vaccines should be prioritised. This is not necessarily captured by the current economic approaches for assessing the benefits from childhood vaccinations in the UK, but is an important area for future research to ensure appropriate decision making.Keywords
Funding Information
- Meningitis Research Foundation (1506.0)
This publication has 30 references indexed in Scilit:
- Using the framework method for the analysis of qualitative data in multi-disciplinary health researchBMC Medical Research Methodology, 2013
- The Effect of Perceived Risks on the Demand for Vaccination: Results from a Discrete Choice ExperimentPLOS ONE, 2013
- VALUING QALY GAINS BY APPLYING A SOCIETAL PERSPECTIVEHealth Economics, 2012
- Citizen Participation in Patient Prioritization Policy Decisions: An Empirical and Experimental Study on Patients' CharacteristicsPLOS ONE, 2012
- Deriving distributional weights for QALYs through discrete choice experimentsJournal of Health Economics, 2011
- The social value of a QALY: raising the bar or barring the raise?BMC Health Services Research, 2011
- ‘Avoiding harm to others’ considerations in relation to parental measles, mumps and rubella (MMR) vaccination discussions – An analysis of an online chat forumSocial Science & Medicine (1982), 2008
- Children's health and the social theory of risk: Insights from the British measles, mumps and rubella (MMR) controversySocial Science & Medicine, 2007
- Determinants of older adults’ intentions to vaccinate against influenza: a theoretical applicationJournal of Public Health, 2006
- Omission bias in vaccination decisions: Where’s the “omission”? Where’s the “bias”?Organizational Behavior and Human Decision Processes, 2003