Australian immunisation registers: established foundations and opportunities for improvement.
Author: Chin- L K; Crawford- N W; Rowles- G & Buttery- J P
The National Immunisation Program Schedule in Australia is formulated and funded nationally under the population-wide Medicare system. The policy is implemented by the eight state and territory jurisdictions. The national immunisation registers consist of the Australian Childhood Immunisation Register (ACIR)- and- more recently- the National Human Papillomavirus (HPV) Vaccination Program Register. Moreover- a variety of jurisdiction-based registers and primary care practice software systems exist- which interact with the national registers. General practitioners can obtain reports listing patients under seven years attending their practice and recorded as 'not fully immunised'- and immunisation coverage rates for their practice linked to government incentives through Medicare. A 2011 report documents national coverage of 91.8% fully immunised at 12 months- and 92.6% at 24 months. The HPV register provides information on vaccination coverage with the potential to link with a register of cervical cancer screening results. Limitations of current national register include inability to easily access immunisation histories beyond seven years of age- and issues of underreporting and timeliness- which impact significantly the immunisation coverage estimates. The linkage of these registers with healthcare outcome data will further enhance public health outcomes by enabling rapid- population-level vaccine safety and effectiveness investigations in a nation with a track record as an 'early adopter' of new childhood vaccines.
|Journal||Euro surveillance : bulletin Européen sur les maladies transmissibles = European communicable disease bulletin|
|Added by||TechNet Admin|
|Added on||2 July 2015 04:58:13|
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