The Australian funding debate on quadrivalent HPV vaccine: A case study for the national pharmaceutical policy

Elizabeth Ellen Roughead, Andrew L. Gilbert, Agnes I. Vitry

Research output: Contribution to journalArticlepeer-review

24 Citations (Scopus)

Abstract

Objectives: To analyse the media and political reactions to the initial decision of the Pharmaceutical Benefits Advisory Committee (PBAC) to reject funding of the quadrivalent human papilloma virus (HPV) vaccine in Australia. Methods: A case study, informed by media reports and government documents, was utilised to examine the reactions of key stakeholders; PBAC, consumers, consumer organisations, pharmaceutical industry, politicians, health professionals and the media to the initial decision to reject funding of HPV vaccine. Results: The initial decision to reject funding of the HPV vaccine led to unprecedented public response with over 300 newspaper articles and calls by consumers, health professionals and politicians to intervene in the decision making process. Misunderstanding of the decision making process, particularly cost-effectiveness assessments, the need for an independent process, the legislated inability of a timely and transparent response from policy makers and the lack of a risk mitigation strategy all played a role in the public outcry. Conclusions: Despite 15 years of implementation of cost-effectiveness assessments there is still a need for improving stakeholder understanding of the decision making process and for timely transfer of complete information. Risk mitigation strategies should be considered as part of the communication plan for all decisions.

Original languageEnglish
Pages (from-to)250-257
Number of pages8
JournalHealth Policy
Volume88
Issue number2-3
DOIs
Publication statusPublished - 1 Dec 2008
Externally publishedYes

Keywords

  • Cost-benefit analysis
  • Health
  • Insurance
  • Papillomavirus vaccines
  • Public debate
  • Reimbursement
  • Resource allocation

ASJC Scopus subject areas

  • Health Policy

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