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Direct and Spillover Effects of Provider Vaccination Facilitation / Julie Berry Cullen, Maria K. Humlum, Agne Suziedelyte, Peter Rønø Thingholm.

By: Contributor(s): Material type: TextTextSeries: Working Paper Series (National Bureau of Economic Research) ; no. w30951.Publication details: Cambridge, Mass. National Bureau of Economic Research 2023.Description: 1 online resource: illustrations (black and white)Subject(s): Other classification:
  • I1
  • I12
  • I18
Online resources: Available additional physical forms:
  • Hardcopy version available to institutional subscribers
Abstract: We explore the role that physicians play in moderating compliance with recommended vaccinations. Using administrative data on the universe of Danish children and their healthcare providers, we first construct and validate a measure of providers' propensities to comply with recommended vaccinations from birth to age 6 based on a two-way fixed effects model. We then show that the constructed measure of provider vaccination facilitation meaningfully affects uptake of the Human Papillomavirus (HPV) vaccine among adolescent patients, and speeds recovery from a media-induced crisis to perceived HPV vaccine safety. We also demonstrate that providers affect decisions beyond those of their own patients, influencing uptake for patients' younger cousins affiliated with other providers by about one-quarter as much as own patients.
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February 2023.

We explore the role that physicians play in moderating compliance with recommended vaccinations. Using administrative data on the universe of Danish children and their healthcare providers, we first construct and validate a measure of providers' propensities to comply with recommended vaccinations from birth to age 6 based on a two-way fixed effects model. We then show that the constructed measure of provider vaccination facilitation meaningfully affects uptake of the Human Papillomavirus (HPV) vaccine among adolescent patients, and speeds recovery from a media-induced crisis to perceived HPV vaccine safety. We also demonstrate that providers affect decisions beyond those of their own patients, influencing uptake for patients' younger cousins affiliated with other providers by about one-quarter as much as own patients.

Hardcopy version available to institutional subscribers

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