Overcoming Barriers to Immunization A Workshop Summary (1994) / Chapter Skim
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1 INTRODUCTION
1 INTRODUCTION
Pages 7-13
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From page 7... ...
Efforts to improve immunization levels among preschool children have been substantially expanded and made more visible during the past year (Shalala, 1993~. The President's Childhood Immunization Initiative is giving greater support to ongoing activities and is the basis for new efforts to ensure the universal availability of affordable vaccines, increase public awareness of the 7
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From page 8... ...
Families, health care providers, communities, and states also face larger social, economic, and political challenges that affect their ability to respond to the specific problems of immunization. 'The immunization schedule recommended by the Advisory Committee on Immunization Practices and the American Academy of Pediatrics calls for children to receive by 2 years of age four doses of diphtheria-tetanus-pertussis (DTP)
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From page 10... ...
Even in states that currently make vaccines available to health care providers free of charge, fewer than 70 percent of 2-year-olds have received all recommended vaccine doses (CDC, unpublished data, 1993~. Other significant barriers to full immunization lie in the organization and delivery of primary care, including immunization services, the practices of individual health care providers, and the knowledge, attitudes, and behavior of children's families (NVAC, 1991, 1992~.
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From page 11... ...
States will be responsible for distributing the vaccines to appropriate health care providers. Under pressure to control costs, many states are turning to managed care programs to deliver services to patients enrolled in the Medicaid program.
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Each provider is accountable for the immunization status of all children assigned to the practice and receives substantial incentive payments for achieving specific levels of immunization coverage among those children. Even with health care reform, however, the United States will not have a system comparable to the United Kingdom's unified National Health Service through which to work.
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From page 13... ...
The committee's primary aim is to address those issues that require the attention of state-level decisionmakers, including government officials, public health officials, and leadership in the health professions. It also intends for the report to be useful to local government and public health officials, national leaders in government and the health professions, and public- and private-sector developers of health care reform plans.
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