Influenza vaccination policy-making processes in France and The Netherlands: Framework and determinants.
Identifieur interne : 000075 ( Main/Corpus ); précédent : 000074; suivant : 000076Influenza vaccination policy-making processes in France and The Netherlands: Framework and determinants.
Auteurs : Maria Laura Silva ; Lionel Perrier ; John W. Paget ; Anne Mosnier ; Valérie Buthion ; Jean Marie Cohen ; Hans Martin Sp ThSource :
- Health policy (Amsterdam, Netherlands) [ 1872-6054 ] ; 2016.
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Influenza Vaccines.
- prevention & control : Influenza, Human.
- Administrative Personnel, France, Health Policy, Humans, Interviews as Topic, Netherlands, Policy Making.
Abstract
OBJECTIVES
Target groups for seasonal influenza vaccination are nationally defined based on several factors. However, few studies have explored the policy-making processes at the country-level. We investigated key differences in the policy-making process for the development of vaccination recommendations between France (FR) and The Netherlands (NL). This paper presents preliminary results on the evidence used in the decision-making process and focuses on the interactions between the experts and stakeholders.
METHODS
A documentary analysis identified the stakeholders of this process as governmental authorities, research institutions, associations, and manufacturers. This qualitative study included at least one expert from each stakeholder group. Thirty-three semi-structured interviews were performed in 2013 (16 FR, 17 NL). We used NVivo10® to perform a thematic content analysis on the data.
RESULTS
National Immunization Technical Advisory Groups (NITAGs) were the key stakeholders in the development of recommendations. There was no systematic standard evaluation of evidence during the decision-making process in both countries. Likewise, voting was not systematic, although it did occur more often in FR. A declaration of interests was obligatory in both countries. Experts with no conflicts of interest were rare because many depend on private funding for their research on influenza vaccination.
CONCLUSIONS
The transparency of the NITAGs' procedures for the development of recommendations should be improved. We believe improvements might be achieved by the systematic standard evaluation of evidence, consistent voting, clear declarations of interest, and increased public funding for vaccination research.
DOI: 10.1016/j.healthpol.2016.01.005
PubMed: 26806677
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pubmed:26806677Le document en format XML
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<author><name sortKey="Silva, Maria Laura" sort="Silva, Maria Laura" uniqKey="Silva M" first="Maria Laura" last="Silva">Maria Laura Silva</name>
<affiliation><nlm:affiliation>University of Lyon, Lyon, France; University of Bordeaux; Research Center Bordeaux Population HealthU1219 Inserm, Bordeaux, France; University Lumière Lyon 2; CNRS, GATELSEUMR 5824, Ecully, France. Electronic address: maria-laura.silva@univ-lyon2.fr.</nlm:affiliation>
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<author><name sortKey="Perrier, Lionel" sort="Perrier, Lionel" uniqKey="Perrier L" first="Lionel" last="Perrier">Lionel Perrier</name>
<affiliation><nlm:affiliation>University of Lyon, Lyon, France; University Lumière Lyon 2; CNRS, GATELSEUMR 5824, Ecully, France; Direction of Clinical Research and Innovation, DRCI, Léon Bérard Cancer Centre, Lyon, France.</nlm:affiliation>
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<author><name sortKey="Paget, John W" sort="Paget, John W" uniqKey="Paget J" first="John W" last="Paget">John W. Paget</name>
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<author><name sortKey="Mosnier, Anne" sort="Mosnier, Anne" uniqKey="Mosnier A" first="Anne" last="Mosnier">Anne Mosnier</name>
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<author><name sortKey="Buthion, Valerie" sort="Buthion, Valerie" uniqKey="Buthion V" first="Valérie" last="Buthion">Valérie Buthion</name>
<affiliation><nlm:affiliation>University of Lyon, Lyon, France; University Lumière Lyon 2 COACTIS, EA 4161, Lyon, France.</nlm:affiliation>
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<author><name sortKey="Cohen, Jean Marie" sort="Cohen, Jean Marie" uniqKey="Cohen J" first="Jean Marie" last="Cohen">Jean Marie Cohen</name>
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<affiliation><nlm:affiliation>University of Lyon, Lyon, France; University of Bordeaux; Research Center Bordeaux Population HealthU1219 Inserm, Bordeaux, France; University Lumière Lyon 2; CNRS, GATELSEUMR 5824, Ecully, France. Electronic address: maria-laura.silva@univ-lyon2.fr.</nlm:affiliation>
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<author><name sortKey="Perrier, Lionel" sort="Perrier, Lionel" uniqKey="Perrier L" first="Lionel" last="Perrier">Lionel Perrier</name>
<affiliation><nlm:affiliation>University of Lyon, Lyon, France; University Lumière Lyon 2; CNRS, GATELSEUMR 5824, Ecully, France; Direction of Clinical Research and Innovation, DRCI, Léon Bérard Cancer Centre, Lyon, France.</nlm:affiliation>
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<author><name sortKey="Paget, John W" sort="Paget, John W" uniqKey="Paget J" first="John W" last="Paget">John W. Paget</name>
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<author><name sortKey="Mosnier, Anne" sort="Mosnier, Anne" uniqKey="Mosnier A" first="Anne" last="Mosnier">Anne Mosnier</name>
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<author><name sortKey="Buthion, Valerie" sort="Buthion, Valerie" uniqKey="Buthion V" first="Valérie" last="Buthion">Valérie Buthion</name>
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<author><name sortKey="Cohen, Jean Marie" sort="Cohen, Jean Marie" uniqKey="Cohen J" first="Jean Marie" last="Cohen">Jean Marie Cohen</name>
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<author><name sortKey="Sp Th, Hans Martin" sort="Sp Th, Hans Martin" uniqKey="Sp Th H" first="Hans Martin" last="Sp Th">Hans Martin Sp Th</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Administrative Personnel (MeSH)</term>
<term>France (MeSH)</term>
<term>Health Policy (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza Vaccines (therapeutic use)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Interviews as Topic (MeSH)</term>
<term>Netherlands (MeSH)</term>
<term>Policy Making (MeSH)</term>
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<keywords scheme="MESH" xml:lang="en"><term>Administrative Personnel</term>
<term>France</term>
<term>Health Policy</term>
<term>Humans</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>Target groups for seasonal influenza vaccination are nationally defined based on several factors. However, few studies have explored the policy-making processes at the country-level. We investigated key differences in the policy-making process for the development of vaccination recommendations between France (FR) and The Netherlands (NL). This paper presents preliminary results on the evidence used in the decision-making process and focuses on the interactions between the experts and stakeholders.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>A documentary analysis identified the stakeholders of this process as governmental authorities, research institutions, associations, and manufacturers. This qualitative study included at least one expert from each stakeholder group. Thirty-three semi-structured interviews were performed in 2013 (16 FR, 17 NL). We used NVivo10® to perform a thematic content analysis on the data.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>National Immunization Technical Advisory Groups (NITAGs) were the key stakeholders in the development of recommendations. There was no systematic standard evaluation of evidence during the decision-making process in both countries. Likewise, voting was not systematic, although it did occur more often in FR. A declaration of interests was obligatory in both countries. Experts with no conflicts of interest were rare because many depend on private funding for their research on influenza vaccination.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>The transparency of the NITAGs' procedures for the development of recommendations should be improved. We believe improvements might be achieved by the systematic standard evaluation of evidence, consistent voting, clear declarations of interest, and increased public funding for vaccination research.</p>
</div>
</front>
</TEI>
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<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Target groups for seasonal influenza vaccination are nationally defined based on several factors. However, few studies have explored the policy-making processes at the country-level. We investigated key differences in the policy-making process for the development of vaccination recommendations between France (FR) and The Netherlands (NL). This paper presents preliminary results on the evidence used in the decision-making process and focuses on the interactions between the experts and stakeholders.</AbstractText>
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