Nurses and infant vaccination coverage

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Timely vaccination adherence for infants can avoid costs for the health care system and support population health. Can public health interventions–such as nurse home visits–encourage timely uptake? We study this question in the context of universal home visits for new parents in Denmark. We exploit merged nurse records and administrative data and use an event study design to compare the outcomes of families, who vary in the exact timing of their nurse visit around the recommended age for infant vaccinations. We find that a nurse visit prior to the recommended vaccination age increases parents’ probability of timely vaccination adherence. In the longer run, vaccination coverage rates between treated and control parents converge, and thus our findings suggest that nurses primarily act as human vaccination reminders. However, as our heterogeneity analyses show that a timely nurse visit positively affects vaccination coverage for inexperienced parents, adequately timed nurse visits may have the potential to also increase vaccination coverage.

OriginalsprogEngelsk
TidsskriftJournal of Economic Behavior and Organization
Vol/bind196
Sider (fra-til)402-428
Antal sider27
ISSN0167-2681
DOI
StatusUdgivet - apr. 2022

Bibliografisk note

Funding Information:
The work on this project has been funded by the Innovation Foundation Denmark (grant 5155-00001B) and the Danish Council for Independent Research (grant 8019-00051B). The funding agencies have not reviewed any results presented in the paper.

Funding Information:
We thank the Danish municipalities that have generously shared their data on home visiting with us. The use of these municipal health data in our research project was approved by the Danish Patient Safety Authority (approval 3-3013-2507/1). We thank two anonymous referees, Aline Bütikofer, Jonas Maibom, Hans Henrik Sievertsen, Marianne Simonsen, Emma Tominey, seminar participants at CEBI (at the Department of Economics, University of Copenhagen) and participants at the 2020 EALE/SOLE/AASLE conference for valuable input. Hirani and Wüst gratefully acknowledge financial support from the Innovation Fund Denmark (grant 5155-00001B). Wüst gratefully acknowledges financial support from the Danish Council for Independent Research (grant 8019-00051B).

Funding Information:
? We thank the Danish municipalities that have generously shared their data on home visiting with us. The use of these municipal health data in our research project was approved by the Danish Patient Safety Authority (approval 3-3013-2507/1). We thank two anonymous referees, Aline B?tikofer, Jonas Maibom, Hans Henrik Sievertsen, Marianne Simonsen, Emma Tominey, seminar participants at CEBI (at the Department of Economics, University of Copenhagen) and participants at the 2020 EALE/SOLE/AASLE conference for valuable input. Hirani and W?st gratefully acknowledge financial support from the Innovation Fund Denmark (grant 5155-00001B). W?st gratefully acknowledges financial support from the Danish Council for Independent Research (grant 8019-00051B).

Publisher Copyright:
© 2022 The Author(s)

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