Table 1.

Recommendations for incorporating economic analysis into regional vaccine decision making

1	Economic analysis is an important factor in vaccine decision making and should be routinely incorporated into the recommendation process within the region’s broader immunization framework
2	A local economic expert should sit on regional committees or be more readily available to advise the committee on an ad hoc basis. Local data and expertise is required to appropriately tailor national recommendations to the provincial or territorial context
3	There is a desire/need to improve basic economic literacy of vaccine advisory committee members. This will help to address common misconceptions about economic analyses and facilitate communication with healthcare decision makers as well as the public
4	A clear, systematic and routine process for incorporating economic analysis into the provincial or territorial decision-making process is required, including clear guidelines and criteria for when economic evaluations are not relevant, when available economic evidence is sufficient, and when more localized analyses may be needed
5	Specific roles and responsibilities for each party (national and regional) should be identified, recognizing opportunities for synergy between stakeholders