While stakeholders recognize the importance of understanding the full value of vaccination, including benefits and costs to patients, families, and broader society, the broader value elements are rarely captured in economic evaluations of vaccination. Value frameworks can help decision-makers evaluate the full value of vaccination by providing guidance on how to measure and incorporate broader value elements into economic evaluations.
A new systematic review of value frameworks published in Value in Health sought to identify broader value elements and measurement guidance that may be useful for capturing the full value of vaccination. The literature search identified 62 value frameworks that met inclusion criteria, 9 of which were vaccination specific. Although vaccination frameworks included several broader value elements, such as reduced transmissibility and public health benefits, the elements were represented inconsistently across the frameworks. Vaccination frameworks omitted several value elements included in non vaccination-specific frameworks, including dosing and administration complexity and affordability. In addition, guidance for measuring broader value elements was underdeveloped. Future efforts should further evaluate inclusion of broader value elements in economic evaluations of vaccination and develop standards for their subsequent measurement.
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