필수예방접종비용 지원 수준별 전산등록의 질적 차이

초록

Objectives: To improve quality of immunization program, it needs to survey immunization coverage rate and timeliness. In order to that, individual-based immunization records registration and data sharing between immunization providers may be important role. For that reasons, Korea Centers for Disease Control and Prevention decided to introduce nation-based immunization registry system to manage target population and eradicate vaccine preventable infectious diseases from Jun. 2000. The aim of this study is to examine possibility for calculating immunization coverage rate and quality of registered data. Methods: Surveyed areas are two districts, the one is 100% of cost supported (experiment), the other is 30% supported ares (control). And both areas are similar in population size, number of babies at birth, socioeconomic states. The ages of study are 0~12 years old, the period of data abstraction was 2009 to 2010. Results: The data registration rate was higher in 100% of cost supported area than control area, 2.5% point in 2009, 1.7% point in 2010. The average no. of data registration per one person was more 1.3 in 2009, 1.5 in 2010 than 30% of cost supported district. Also average data registration per one medical facility was more 33.2% point in 2009, 37.4 % point in 2010 than 30% of cost supported district. The vaccination rate within a residential area was higher than 30% of cost supported district, 34.0% point in 2009, 36.6% point in 2010. The sharing rate of medical providers in total vaccination service amount was higher 52.8% point in 2009, 56.8% in 2010 than 30% of cost supported district. Conclusion: According to these results, if our government supports 100% cost of vaccination fee(free vaccination policy), it may improve quality of immunization registration rate and vaccination accessibility to adjacent provider.

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