Consequences of a shortage and rationing: Evidence from a pediatric vaccine.
Haemophilus Influenzae Type B
Rationing
Shortage
Vaccine
Journal
Journal of health economics
ISSN: 1879-1646
Titre abrégé: J Health Econ
Pays: Netherlands
ID NLM: 8410622
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
received:
18
01
2023
revised:
11
07
2023
accepted:
14
09
2023
medline:
22
11
2023
pubmed:
20
10
2023
entrez:
19
10
2023
Statut:
ppublish
Résumé
Shortages and rationing are common in health care, yet we know little about the consequences. We examine an 18-month shortage of the pediatric Haemophilus Influenzae Type B (Hib) vaccine. Using insurance claims data and variation in shortage exposure across birth cohorts, we find that the shortage reduced uptake of high-value primary doses by 4 percentage points and low-value booster doses by 26 percentage points. This suggests providers largely complied with rationing recommendations. In the long-run, catch-up vaccination occurred but was incomplete: shortage-exposed cohorts were 4 percentage points less likely to have received the ir booster dose years later. We also find that the shortage and rationing caused provider switches, extra provider visits, and negative spillovers to other care.
Identifiants
pubmed: 37857116
pii: S0167-6296(23)00096-6
doi: 10.1016/j.jhealeco.2023.102819
pii:
doi:
Substances chimiques
Haemophilus Vaccines
0
Types de publication
Journal Article
Langues
eng
Pagination
102819Informations de copyright
Copyright © 2023 Elsevier B.V. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.