Literature DB >> 25773563

Fairness versus efficiency of vaccine allocation strategies.

Ming Yi1, Achla Marathe2.   

Abstract

OBJECTIVES: To develop a framework to objectively measure the degree of fairness of any allocation rule aimed at distributing a limited stockpile of vaccines to contain the spread of influenza.
METHODS: The trade-off between the efficiency and fairness of allocation strategies was demonstrated through an illustrative simulation study of an influenza epidemic in Southwestern Virginia. A Susceptible-Exposed-Infectious-Recovered model was used to represent the disease progression within the host.
RESULTS: Our findings showed that among all the criteria considered here, the household size (largest first) combined with age (youngest first)-based strategy leads to the best outcome. At 80% fairness, highest efficiency can be achieved but in order to be 100% fair, disease prevalence will have to rise by approximately 1.5%.
CONCLUSIONS: This research provides a framework to objectively determine the degree of fairness of vaccine allocation strategies.
Copyright © 2015 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

Entities:  

Keywords:  allocation strategies; efficiency; fairness trade-off; limited vaccines; simulation

Mesh:

Substances:

Year:  2015        PMID: 25773563      PMCID: PMC4361778          DOI: 10.1016/j.jval.2014.11.009

Source DB:  PubMed          Journal:  Value Health        ISSN: 1098-3015            Impact factor:   5.725


  7 in total

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5.  Principles for allocation of scarce medical interventions.

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Review 7.  The economic impact of pandemic influenza in the United States: priorities for intervention.

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  7 in total
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  4 in total

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