Vaccination with partial knowledge of external effectiveness

被引:24
作者
Manski, Charles F. [1 ,2 ]
机构
[1] Northwestern Univ, Dept Econ, Evanston, IL 60208 USA
[2] Northwestern Univ, Inst Policy Res, Evanston, IL 60208 USA
基金
美国国家科学基金会;
关键词
partial identification; planning under ambiguity; social interactions; vaccination policy; TREATMENT CHOICE; TREATMENT RULES; STRATEGIES; AMBIGUITY; POPULATION; INFLUENZA; RISK;
D O I
10.1073/pnas.0915009107
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Economists studying public policy have generally assumed that the relevant planner knows how policy affects population behavior. Planners typically do not possess all of this knowledge, so there is reason to consider policy formation with partial knowledge of policy impacts. Here I consider choice of a vaccination policy when a planner has partial knowledge of the effect of vaccination on illness rates. To begin, I pose a planning problem whose objective is to minimize the utilitarian social cost of illness and vaccination. The consequences of candidate vaccination rates depend on the extent to which vaccination prevents illness. I study the planning problem when the planner has partial knowledge of the external-response function, which expresses how the illness rate of unvaccinated persons varies with the vaccination rate. I suppose that the planner observes the illness rate of a study population whose vaccination rate has been chosen previously. He knows that the illness rate of unvaccinated persons weakly decreases as the vaccination rate increases, but he does not know the magnitude of the preventive effect of vaccination. In this setting, I first show how the planner can eliminate dominated vaccination rates and then how he can use the minimax or minimax-regret criterion to choose an undominated vaccination rate.
引用
收藏
页码:3953 / 3960
页数:8
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