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dc.contributor.authorBeshears, John Leonard
dc.contributor.authorChoi, James J.
dc.contributor.authorLaibson, David I.
dc.contributor.authorMadrian, Brigitte
dc.contributor.authorReynolds, Gwendolyn I.
dc.date.accessioned2018-01-25T20:46:21Z
dc.date.issued2016
dc.identifier.citationBeshears, John, James J. Choi, David I. Laibson, Brigitte C. Madrian, and Gwendolyn I. Reynolds. 2016. “Vaccination Rates Are Associated With Functional Proximity But Not Base Proximity of Vaccination Clinics.” Medical Care 54 (6) (June): 578–583. doi:10.1097/mlr.0000000000000523.en_US
dc.identifier.issn0025-7079en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:34737827
dc.description.abstractBackground: Routine annual influenza vaccinations are recommended for persons 6 months of age and older, but less than half of US adults get vaccinated. Many employers offer employees free influenza vaccinations at workplace clinics, but even then take-up is low. Objective: To determine whether employees are significantly more likely to get vaccinated if they have a higher probability of walking by the clinic for reasons other than vaccination. Method: We obtained data from an employer with a free workplace influenza vaccination clinic. Using each employee’s building entry/exit swipe card data, we test whether functional proximity—the likelihood that the employee walks by the clinic for reasons other than vaccination—predicts whether the employee gets vaccinated at the clinic. We also test whether base proximity—the inverse of walking distance from the employee’s desk to the clinic—predicts vaccination probability. Participants: A total of 1801 employees of a health benefits administrator that held a free workplace influenza vaccination clinic. Results: A 2 SD increase in functional proximity is associated with a 6.4 percentage point increase in the probability of vaccination (total vaccination rate at company=40%), even though the average employee’s desk is only 166 meters from the clinic. Base proximity does not predict vaccination probability. Conclusions and Relevance: Minor changes in the environment can have substantial effects on the probability of vaccination. If these results generalize, health systems should emphasize functional proximity over base proximity when locating preventive health services.en_US
dc.description.sponsorshipEconomicsen_US
dc.language.isoen_USen_US
dc.publisherOvid Technologies (Wolters Kluwer Health)en_US
dc.relation.isversionofdoi:10.1097/MLR.0000000000000523en_US
dash.licenseOAP
dc.subjectvaccinationen_US
dc.subjectclinicsen_US
dc.subjectworkplace wellnessen_US
dc.subjectproximityen_US
dc.subjectpreventive careen_US
dc.subjectinfluenzaen_US
dc.titleVaccination Rates are Associated With Functional Proximity But Not Base Proximity of Vaccination Clinicsen_US
dc.typeJournal Articleen_US
dc.description.versionAccepted Manuscripten_US
dc.relation.journalMedical Careen_US
dash.depositing.authorLaibson, David I.
dc.date.available2018-01-25T20:46:21Z
dc.identifier.doi10.1097/MLR.0000000000000523*
workflow.legacycommentsFAR2016en_US
dash.contributor.affiliatedMadrian, Brigitte
dash.contributor.affiliatedLaibson, David
dash.contributor.affiliatedBeshears, John


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