Abstract:
BACKGROUND:Immunization rates for human papillomavirus (HPV) infections remain low among teenagers despite strong evidence of the effectiveness of vaccines. Physician recommendations of the vaccine are far from universal. Several states have enacted policies that mandate HPV vaccination or distribute educational materials. OBJECTIVES:To provide policy makers, physicians, and researchers information on the relative importance of physician recommendations and early state-level policies to promote HPV vaccinations among targeted age groups. METHODS:We first use probit models to determine the strongest correlates of immunization in a nationally representative US sample of teenagers. We then use instrumental variable probit models to determine the direct role that physician recommendations play in vaccination using plausibly exogenous physician encounters that are likely not the result of more health-conscious parents seeking out information on the vaccine. RESULTS:We show that children in the targeted age range who are more likely to encounter physicians for reasons other than seeking out the vaccine, such as through mandatory wellness exams or previous asthma diagnoses, are significantly more likely to get the vaccine. There is no consistent evidence that the state policies we analyze have been effective. CONCLUSION:Encouraging recommendations by physicians may be the most effective path toward increasing HPV vaccination. State-level mandates and policies are yet to exhibit effectiveness.
journal_name
Appl Health Econ Health Policyjournal_title
Applied health economics and health policyauthors
Moghtaderi A,Adams Sdoi
10.1007/s40258-016-0225-6subject
Has Abstractpub_date
2016-06-01 00:00:00pages
349-59issue
3eissn
1175-5652issn
1179-1896pii
10.1007/s40258-016-0225-6journal_volume
14pub_type
杂志文章abstract::Central venous catheters are commonly used to deliver therapies and to monitor patients, and require securing at the point of percutaneous entry to avoid dislodgement. SecurAcath is a catheter securement device designed for central venous catheters. The National Institute for Health and Care Excellence, as a part of i...
journal_title:Applied health economics and health policy
pub_type: 杂志文章,评审
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journal_title:Applied health economics and health policy
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journal_title:Applied health economics and health policy
pub_type: 杂志文章
doi:
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journal_title:Applied health economics and health policy
pub_type: 杂志文章,评审
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journal_title:Applied health economics and health policy
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journal_title:Applied health economics and health policy
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journal_title:Applied health economics and health policy
pub_type: 杂志文章,评审
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journal_title:Applied health economics and health policy
pub_type: 杂志文章
doi:10.1007/s40258-015-0153-x
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journal_title:Applied health economics and health policy
pub_type: 杂志文章
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journal_title:Applied health economics and health policy
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journal_title:Applied health economics and health policy
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abstract::Despite recent initiatives across a number of countries to institutionalise the use of economic evaluation in the assessment of new technologies, the evidence suggests that, to date, the impact of economic analysis on health sector decision making in practice has been low. This paper proposes that incentive compatibil...
journal_title:Applied health economics and health policy
pub_type: 杂志文章,评审
doi:
更新日期:2003-01-01 00:00:00
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journal_title:Applied health economics and health policy
pub_type: 杂志文章,评审
doi:
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journal_title:Applied health economics and health policy
pub_type: 杂志文章,评审
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journal_title:Applied health economics and health policy
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journal_title:Applied health economics and health policy
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journal_title:Applied health economics and health policy
pub_type: 杂志文章,随机对照试验
doi:10.2165/11592220-000000000-00000
更新日期:2011-07-01 00:00:00
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journal_title:Applied health economics and health policy
pub_type: 杂志文章,评审
doi:10.1007/BF03256162
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journal_title:Applied health economics and health policy
pub_type: 杂志文章
doi:10.1007/s40258-016-0230-9
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journal_title:Applied health economics and health policy
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pub_type: 杂志文章
doi:10.2165/00148365-200403010-00009
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journal_title:Applied health economics and health policy
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journal_title:Applied health economics and health policy
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journal_title:Applied health economics and health policy
pub_type: 杂志文章,评审
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journal_title:Applied health economics and health policy
pub_type: 杂志文章,评审
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更新日期:2018-02-01 00:00:00
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更新日期:2018-06-01 00:00:00
abstract::If present increases in the rate of obesity persist, by 2015 half of the population in the US could be obese. This article presents the case that the reason for the epidemic is an 'infrastructure of obesity' that fuels the phenomenon. To control this epidemic, public policy in general and health policy in particular n...
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