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The Impacts of Subsidy Policies on Vaccination Decisions in Contact Networks

机译:补贴政策对接触疫苗接种决策的影响   网络

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摘要

Often, vaccination programs are carried out based on self-interest ratherthan being mandatory. Owing to the perceptions about risks associated withvaccines and the `herd immunity' effect, it may provide suboptimal vaccinationcoverage for the population as a whole. In this case, some subsidy policies maybe offered by the government to promote vaccination coverage. But, not allsubsidy policies are effective in controlling the transmission of infectiousdiseases. We address the question of which subsidy policy is best, and how toappropriately distribute the limited subsidies to maximize vaccine coverage. Toanswer these questions, we establish a model based on evolutionary game theory,where individuals try to maximize their personal payoffs when considering thevoluntary vaccination mechanism. Our model shows that voluntary vaccinationalone is insufficient to control an epidemic. Hence, two subsidy policies aresystematically studied: (1) in the free subsidy policy the total amount ofsubsidies is distributed to some individuals and all the donees may vaccinateat no cost, and (2) in the part-offset subsidy policy each vaccinated person isoffset by a certain proportion of the vaccination cost. Simulations suggestthat, since the part-offset subsidy policy can encourage more individuals to bevaccinated, the performance of this policy is significantly better than that ofthe free subsidy policy.
机译:通常,疫苗接种计划是基于个人利益而不是强制性的。由于人们对与疫苗有关的风险和“群体免疫”效应的认识,可能为整个人口提供次优的疫苗接种率。在这种情况下,政府可能会提供一些补贴政策来促进疫苗接种覆盖率。但是,并不是所有的补贴政策都能有效地控制传染病的传播。我们讨论的问题是哪种补贴政策最好,以及如何适当分配有限的补贴以最大程度地覆盖疫苗。为了回答这些问题,我们建立了一个基于进化博弈论的模型,在此模型中,个体在考虑自愿疫苗接种机制时会尝试最大程度地提高个人收益。我们的模型表明,仅靠自愿接种疫苗不足以控制流行病。因此,系统地研究了两种补贴政策:(1)在免费补贴政策中,补贴总额分配给了一些个人,所有受赠人都可以免费接种疫苗;(2)在部分补偿政策中,每个接种者的补偿都是一定比例的疫苗接种费用。模拟表明,由于部分抵消补贴政策可以鼓励更多的人接种疫苗,因此该政策的绩效明显优于免费补贴政策。

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