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Accepted for/Published in: JMIR Public Health and Surveillance

Date Submitted: Jun 17, 2024
Open Peer Review Period: Jun 17, 2024 - Aug 12, 2024
Date Accepted: Dec 19, 2024
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Identifying Preferred Features of Influenza Vaccination Programs Among Chinese Clinicians Practicing Traditional Chinese Medicine and Western Medicine: Discrete Choice Experiment

Zhang L, Chu L, Sundaram ME, Zhou Y, Sun X, Wei Z, Fu C

Identifying Preferred Features of Influenza Vaccination Programs Among Chinese Clinicians Practicing Traditional Chinese Medicine and Western Medicine: Discrete Choice Experiment

JMIR Public Health Surveill 2025;11:e63314

DOI: 10.2196/63314

PMID: 39864957

PMCID: 11769775

Identifying preferred features of influenza vaccination programs among clinicians practicing traditional Chinese medicine and western medicine in China: A discrete choice experiment

  • Liuren Zhang; 
  • Linchen Chu; 
  • Maria E Sundaram; 
  • Yi Zhou; 
  • Xiu Sun; 
  • Zheng Wei; 
  • Chuanxi Fu

ABSTRACT

Background:

The preferences for features of influenza vaccination programs among clinicians practicing traditional Chinese medicine (TCM) and modern western medicine (WM) remained unknown.

Objective:

To understand preferences for features of influenza vaccination programs among clinicians practicing traditional Chinese medicine (TCM) and modern western medicine (WM).

Methods:

We conducted a discrete choice experiment with national sample of 3,085 Chinese clinicians from various level of hospital (n = 1013 practicing TCM). Simulations from choice models using the experimental data generated the coefficients of preference, and predicted uptake rate of different influenza vaccination programs. Clinicians were grouped by vaccine preference classification through a latent class analysis.

Results:

All attributes included are significantly influencing clinicians’ preference for choosing influenza vaccination. An approximate hypothetical 60% increase could be obtained when the attitude of the workplace changed from “no-notice” to “encouraging of vaccination”; there was an approximate hypothetical 35% increase when vaccination campaign strategies changed from “individual appointment” to “vaccination in a workplace setting”. In the entire sample, about 30% of clinicians prefer free vaccination, while 26% comprehensively consider all attributes except vaccination campaign strategies. TCM exhibit a lower preference for free vaccination, and a higher preference for vaccinating in workplace setting, compared to WM clinicians.

Conclusions:

Offering a range of influenza vaccination programs targeting the preferred attributes of different clinician groups could potentially encourage more individuals to participate in influenza vaccination programs and assist in addressing influenza vaccine hesitancy.


 Citation

Please cite as:

Zhang L, Chu L, Sundaram ME, Zhou Y, Sun X, Wei Z, Fu C

Identifying Preferred Features of Influenza Vaccination Programs Among Chinese Clinicians Practicing Traditional Chinese Medicine and Western Medicine: Discrete Choice Experiment

JMIR Public Health Surveill 2025;11:e63314

DOI: 10.2196/63314

PMID: 39864957

PMCID: 11769775

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