Australian immunisation registers: established foundations and opportunities for improvement.

Author: Chin- L K; Crawford- N W; Rowles- G & Buttery- J P
Tags: ICT

Abstract

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.

About

Type Journal article
Country Australia
PubMed URL http://www.ncbi.nlm.nih.gov/pubmed/22551464
Journal Euro surveillance : bulletin Européen sur les maladies transmissibles = European communicable disease bulletin
Volume 17
Year 2012
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