Who Takes Up Free Flu Shots?

Examining the Effects of an Expansion in Coverage

Published in: De Economist, v. 162, no. 1, Mar. 2014, p. 1-17

Posted on RAND.org on March 01, 2014

by Katherine Grace Carman, Ilaria Mosca

Read More

Access further information on this document at De Economist

This article was published outside of RAND. The full text of the article can be found at the link above.

The risk of costly complications and the externalities of contagious diseases lead many countries provide free flu shots to certain populations. In 2008, the Netherlands expanded their flu shot program to cover all individuals over the age of 60, instead of 65. We investigate the effects of the expansion and examine those factors that influence people to change their behavior. We find that the main barrier to take up of free flu shots is labor force participation. Expansion of the program did little to change the behavior of those at increased risk, primarily because these individuals were already getting flu shots.

This report is part of the RAND Corporation External publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit www.rand.org/about/research-integrity.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.