3-2 Project Preparation- Nonfinancial Impact Analysis

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1 3-2 Project Preparation: Nonfinancial Impact Analysis Kailynd A. Biggar Graduate Nursing, Southern New Hampshire University IHP-610: Health Policy and Law Dr. Tim Reardon December 24, 2023
2 Introduction Health Policy Issue According to Larson et al. (2022) a feeling of uncertainty and reluctance over vaccination prior to a determination to act (or not act) is known as vaccine hesitancy. It signifies a period of both potential and vulnerability (Larson et al., 2022). New degrees of unpredictability surrounding vaccine hesitation have been shown by multiple polls that were performed to assess opinions toward vaccination against the COVID-19 virus (Larson et al., 2022). Larson et al. (2022) states that this unpredictability is especially evident when the hesitancy is driven by social media platforms. Key Stakeholders and Interest Groups Larson et al. (2022) states that the stakeholders who will be most impacted by this health policy concern include state employees, unvaccinated adults, and public health professionals/agencies. Increases in vaccination reluctance frequently follow the release of new data, updated regulations, or updated reports of vaccine hazards (Larson et al., 2022). A portion of the diversity can be attributed to elements like a waning public confidence in specialists, inclinations toward complementary and alternative medicine, political division, and radicalism based on beliefs (Larson et al., 2022). This issue affects those who are most vulnerable due to factors like cost and mobility constraints, lack of insurance and ability to afford insurance, religious beliefs, inadequate education and guidance from medical professionals, and a lack of knowledge regarding immunizations. Influence on Decision Making Stakeholder Needs
3 APIC (2021) states that according to public health experts and institutions as many people as possible should receive vaccinations. When a large percentage of the population is immune, a phenomenon known as herd immunity arises, which hinders the disease's ability to spread to new victims (APIC, 2021). Since germs transmit swiftly from person to person, an outbreak occurs when a sufficient number of people in a community contract the disease (APIC, 2021). It will be difficult for the disease to spread if enough people receive vaccinations (APIC, 2021). The National Adult Immunization Plan (NAIP) is a summary of the steps that federal and nonfederal partners must do to safeguard the public's health and attain the best possible mitigation of infectious illnesses and their aftereffects through adult vaccination (U.S. Department of Health and Human Services, 2022). Four main objectives are outlined in the plan, and each is backed up by strategies and targets to help with implementation (U.S. Department of Health and Human Services, 2022). The objectives are to fortify the infrastructure for adult vaccinations, enhance community demand for adult vaccinations, boost access to adult vaccines, and promote technological and developmental innovation in adult vaccines (U.S. Department of Health and Human Services, 2022). The NAIP acknowledges that in order for the initiative to be successful, state, local, territorial, and tribal governments, healthcare providers, advocacy organizations, vaccine manufacturers, academic institutions and research, payers, health plans, employers, and members of the public must come together to remove obstacles and improve adult vaccination access (U.S. Department of Health and Human Services, 2022). Health Policy Influence Politicians, public health experts, and government agencies such as the U.S. Centers for Disease Control and Prevention can all have a substantial nonfinancial impact on this health policy concern (Larson et al., 2022). However, the government, legislators, and pharmaceutical
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4 businesses all have a subtle or covert nonfinancial impact over this as well. Healthcare professionals have a financial impact. For instance, if a vaccination is provided, the patient's insurance will pay for it; if the patient doesn't have insurance, the vaccination will be at the patient's expense (Larson et al., 2022). The financial component for the Centers for Disease Control and Prevention comes from the contracts with private medical professionals and the vaccine purchasers when it comes to the practicalities of who will produce and deliver the vaccine to healthcare providers (U.S. Department of Health and Human Services, 2022). Benefits and Disadvantages Public health experts and the U.S. Centers for Disease Control and Prevention (CDC) may gain from this issue since more people will be motivated to remain immune as a result of knowing how important vaccinations are to the community. Profit will rise as vaccination rates rise because vaccine reluctance will decline (APIC, 2021). When one considers vaccine reluctance in practice, everyone involved will suffer financially from the drop-in vaccination rates. One downside for healthcare practitioners, as previously indicated, is that they might not receive payment if a patient does not have insurance. If the CDC has no contracts with healthcare professionals to distribute the vaccine to, their profit decreases financial and nonfinancial. Adults who are not vaccinated and state workers are particularly vulnerable to this problem since they risk losing their jobs, getting the illness, and suffering with it. Since immunizations stop diseases from infecting new persons (Larson et al., 2022). Immunizations can help underprivileged groups financially by reducing long-term hospital expenses (Larson et al., 2022). The vaccine will lower the cost of medical care and illness treatments while also helping individuals avoid getting sick (Larson et al., 2022). If immunizations can stop a virus from
5 spreading further, then generations to come won't be able to contract the illness as history has shown (APIC, 2021). Value Conflict Analysis The rationale behind the implementation of certain vaccination policy is the potential for value conflict among stakeholders (U.S. Department of Health and Human Services, 2022). The general population may believe that these regulations are not being put into place for public safety but rather purely for commercial benefit. Many stakeholders may be influenced by commercial margins to make irrational choices about vaccination programs (Larson et al., 2022). State and government officials along with health care professionals may also experience value conflict. Many stakeholders may be influenced by commercial margins to make irrational choices about vaccination programs (Larson et al., 2022). Jamison et al. (2019) state that some refuse vaccinations because they think the government is only in it for the money. In 2018, a survey found that most participants mistrusted pharmaceutical corporations, believing them to be driven solely by profit (Jamison et al., 2019). Jamison et al. (2019) states that a global problem is the public's declining trust in vaccinations. Vaccine safety fears, the emergence of anti-vaccine organizations, the use of social media, the notion that vaccinations have been "victims of their own success," and an overall decrease in the trust of "expert" society are just a few of the many theories put up to explain this decline (Jamison et al., 2019).
6 References APIC. (2021).  What is Herd Immunity? - APIC https://apic.org/news/what-is-herd-immunity/ Jamison, A. M., Quinn, S. C., & Freimuth, V. S. (2019). “You don’t trust a government vaccine”: Narratives of institutional trust and influenza vaccination among african american and white adults.  Social Science & Medicine 221 , 87– 94.  https://doi.org/10.1016/j.socscimed.2018.12.020 Larson, H. J., Gakidou, E., & Murray, C. J. L. (2022). The Vaccine-Hesitant moment.  The New England Journal of Medicine 387 (1), 58–65.  https://doi.org/10.1056/nejmra2106441 U.S. Department of Health and Human Services. (2022).  The national adult immunization plan (NAIP) . HHS.  https://www.hhs.gov/sites/default/files/nvpo/national-adult-immunization- plan/naip.pdf In simpler terms financial value conflict can exist when personal
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7 financial gain of a party is deemed dishonest, inaccurate, inefficient and unfair. Many people who are vaccine hesitant are so as they do not trust to government agencies like the Centers for Disease Control and Prevention (CDC), as they believe that they are only administering vaccines for profit and are not taking the necessary steps
8 to make sure that they are safe. In today’s world with the COVID-19 pandemic many people in the general population believe that the vaccine was rushed to completion and not tested enough in terms of long-term effects on the body as the government just wanted to make money off of the vaccines. Since the CDC has a lot to
9 financially gain from the creation and quick roll out of vaccines it creates vaccine hesitancy as it can appear that they are only making them for money and not considering the safety and well-being of the individuals receiving the vaccines. In simpler terms
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10 financial value conflict can exist when personal financial gain of a party is deemed dishonest, inaccurate, inefficient and unfair. Many people who are vaccine hesitant are so as they do not trust to government agencies like the Centers for Disease Control and Prevention (CDC), as they believe that they are only administering vaccines for profit and are not
11 taking the necessary steps to make sure that they are safe. In today’s world with the COVID-19 pandemic many people in the general population believe that the vaccine was rushed to completion and not tested enough in terms of long-term effects on the body as the government just wanted to make money off of
12 the vaccines. Since the CDC has a lot to financially gain from the creation and quick roll out of vaccines it creates vaccine hesitancy as it can appear that they are only making them for money and not considering the safety and well-being of the individuals receiving the vaccines. In simpler terms
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13 financial value conflict can exist when personal financial gain of a party is deemed dishonest, inaccurate, inefficient and unfair. Many people who are vaccine hesitant are so as they do not trust to government agencies like the Centers for Disease Control and Prevention (CDC), as they believe that they are only administering vaccines for profit and are not
14 taking the necessary steps to make sure that they are safe. In today’s world with the COVID-19 pandemic many people in the general population believe that the vaccine was rushed to completion and not tested enough in terms of long-term effects on the body as the government just wanted to make money off of
15 the vaccines. Since the CDC has a lot to financially gain from the creation and quick roll out of vaccines it creates vaccine hesitancy as it can appear that they are only making them for money and not considering the safety and well-being of the individuals receiving the vaccines.
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16 In simpler terms financial value conflict can exist when personal financial gain of a party is deemed dishonest, inaccurate, inefficient and unfair. Many people who are vaccine hesitant are so as they do not trust to government agencies like the Centers for Disease Control and Prevention (CDC), as they believe that they are only administering vaccines
17 for profit and are not taking the necessary steps to make sure that they are safe.