Evidence map›Paper›PMID 42303948›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2026

Vaccination as cost-stabilizing health infrastructure: A Canadian perspective.

Ashleigh R Tuite, David N Fisman, Ellen Rafferty, Matthew Tunis

Abstract read
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In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ashleigh R TuiteCentre for Immunization Surveillance and Programs, Public Health Agency of Canada, Ottawa, ON, Canada. ashleigh.tuite@phac-aspc.gc.ca.ORCID http://orcid.org/0000-0002-4373-9337
David N FismanDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.ORCID http://orcid.org/0000-0001-5009-6926
Ellen RaffertyDepartment of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.ORCID http://orcid.org/0000-0001-9974-8016
Matthew TunisCentre for Immunization Surveillance and Programs, Public Health Agency of Canada, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0003-2092-9143

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As Canada contends with rising healthcare costs and health system strain, vaccination programs stand out as stabilizing health infrastructure. Vaccination can reduce the burden of avoidable illness and dampen volatility arising from seasonal disease surges and outbreaks. Together, these effects can preserve clinical and public health capacity, improve fiscal predictability, and support health system resilience. These system-level benefits are generally not fully captured by conventional cost-utility analyses. Drawing on Canadian evidence, we outline how vaccination programs stabilize healthcare use and spending, and how a stabilization lens complements conventional economic evaluation. Recognizing vaccines as cost-stabilizing infrastructure may influence how vaccination programs are prioritized, budgeted, and evaluated in health system planning.

Indexed as

Economic evaluationsHealth expendituresImmunization programsVaccination

Identifiers

PMID42303948

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.