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El. knyga: Calling the Shots: Immunization Finance Policies and Practices

  • Formatas: 328 pages
  • Išleidimo metai: 13-Nov-2000
  • Leidėjas: National Academies Press
  • Kalba: eng
  • ISBN-13: 9780309171953
  • Formatas: 328 pages
  • Išleidimo metai: 13-Nov-2000
  • Leidėjas: National Academies Press
  • Kalba: eng
  • ISBN-13: 9780309171953

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Calling the Shots examines the basic strategies that finance the national immunization system in the current health care climate. It is a comprehensive volume, rich with data and highlighted examples, that explores:







The evolution of the system in light of changing U.S. demographics, development of new vaccines, and other factors. The effectiveness of public health and health insurance strategies, with special emphasis on the performance of the "Section 317" program. The condition of the infrastructure for control and prevention of infectious disease, surveillance of vaccines rates and safety, and efforts to sustain high coverage.



Calling the Shots will be an indispensable resource to those responsible for maintaining our nation's vaccine vigilance.

Table of Contents



Front Matter Executive Summary Introduction Change and Complexity in the National Immunization System Financing Vaccine Purchase and Delivery Building, Monitoring, and Sustaining Immunization Capacity Immunization Finance Policies and Practices Summary Findings, Conclusions, and Recommendations References Appendix A: Public Health Services Act, Section 317 Appendix B: Immunization Time-Line Appendix C: List of Contributors Appendix D: Overview of State Survey Appendix E: Overview of Case Studies and Site Visits Appendix F: Annual Section 317 Awards to States Appendix G: State Immunization Requirements for School Children Appendix H: Committee and Staff Biographies Index
Executive Summary 1(17)
Introduction
18(36)
Background
18(14)
Charge to the Committee
32(2)
Study Context: The National Immunization Partnership
34(9)
Six Roles of the National Immunization System
43(7)
Study Approach
50(2)
Organization of the Report
52(2)
Change and Complexity in the National Immunization System
54(17)
Key Changes
55(6)
Increasing Complexity
61(5)
Successes and Persistent Problems
66(5)
Financing Vaccine Purchase and Delivery
71(32)
Private Insurance Coverage of Immunization
74(3)
Medicaid, Vaccines for Children, and State Children's Health Insurance Program
77(9)
Medicare
86(3)
Section 317 Vaccine Purchase Grants
89(3)
State Vaccine Purchase
92(5)
Issues in Vaccine Purchase
97(2)
Summing Up
99(4)
Building, Monitoring, and Sustaining Immunization Capacity
103(39)
Infectious Disease Prevention and Control
105(3)
Surveillance of Vaccine Coverage and Safety
108(20)
Efforts to Improve and Sustain High Vaccine Coverage Rates
128(11)
Summing Up
139(3)
Immunization Finance Policies and Practices
142(51)
Private-Sector Roles and Responsibilities
144(8)
Local Health Department Roles and Responsibilities
152(4)
State Roles and Responsibilities
156(19)
Federal Roles and Responsibilities
175(13)
Summing Up
188(5)
Summary Findings, Conclusions, and Recommendations
193(35)
Six Questions and Six Answers
194(26)
Conclusions
220(3)
Summary Recommendations
223(5)
REFERENCES 228(15)
APPENDIXES 243(52)
A Public Health Services Act, Section 317
245(5)
B Immunization Time-Line
250(3)
C List of Contributors
253(8)
D Overview of State Survey
261(2)
E Overview of Case Studies and Site Visits
263(8)
F Annual Section 317 Awards to States, 1995-1999
271(11)
G State Immunization Requirements for School Children
282(5)
H Committee and Staff Biographies
287(8)
Index 295


Committee on Immunization Finance Policies and Practices, Division of Health Care Services and Division of Health Promotion and Disease Prevention