Immunisation registers in Italy: a patchwork of computerisation

Alfonsi, Valeria; D’Ancona, Fortunato; Rota, Maria Cristina; Giambi, Cristina; Ranghiasci, Alessia; Iannazzo, Stefania

doi:10.2807/ese.17.17.20156-en

Cited by 17 publications

(11 citation statements)

References 5 publications

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“…We instead found that vaccines (hexavalent, anti-pneumococcal, anti-meningococcus, trivalent measles/mumps/rubella) were those most commonly reported, in line with another observational survey [18,[36][37][38]. This finding may be explained by different prescription patterns in the various countries, the recent Italian governmental programs aimed at fostering the immunization coverage in the general population and the fact that in Italy the reporting of ADRs related to vaccines, at variance with other drugs, is compulsory [39]. The high number of ADRs due to NSAIDs, antihistamines and antineoplastic agents was instead in line with previous reports [24,25].…”

Section: Number Of Adrscontrasting

confidence: 42%

The importance of monitoring adverse drug reactions in pediatric patients: the results of a national surveillance program in Italy

Carnovale

Brusadelli

Zuccotti

et al. 2014

Expert Opinion on Drug Safety

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Section: Number Of Adrscontrasting

confidence: 42%

The importance of monitoring adverse drug reactions in pediatric patients: the results of a national surveillance program in Italy

Carnovale

Brusadelli

Zuccotti

et al. 2014

Expert Opinion on Drug Safety

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“…As we know, more than 20 provinces have established the immunization information systems in China, but a unified national immunization register or the standards of immunization information system has not been developed, as has been done in Canada [ 15 ]. Alfosni [ 16 ] had demonstrated the challenges that were faced when different immunization information systems are adopted at local level. There was no consensus on the minimal dataset collected and on the type of tool used for data management, which were both necessary for ensuring the quality and timely transmission of immunization data and availability of accurate estimates on vaccination coverage.…”

Section: Discussionmentioning

confidence: 99%

Evaluating Childhood Vaccination Coverage of NIP Vaccines: Coverage Survey versus Zhejiang Provincial Immunization Information System

Chen

2017

IJERPH

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Vaccination coverage in Zhejiang province, east China, is evaluated through repeated coverage surveys. The Zhejiang provincial immunization information system (ZJIIS) was established in 2004 with links to all immunization clinics. ZJIIS has become an alternative to quickly assess the vaccination coverage. To assess the current completeness and accuracy on the vaccination coverage derived from ZJIIS, we compared the estimates from ZJIIS with the estimates from the most recent provincial coverage survey in 2014, which combined interview data with verified data from ZJIIS. Of the enrolled 2772 children in the 2014 provincial survey, the proportions of children with vaccination cards and registered in ZJIIS were 94.0% and 87.4%, respectively. Coverage estimates from ZJIIS were systematically higher than the corresponding estimates obtained through the survey, with a mean difference of 4.5%. Of the vaccination doses registered in ZJIIS, 16.7% differed from the date recorded in the corresponding vaccination cards. Under-registration in ZJIIS significantly influenced the coverage estimates derived from ZJIIS. Therefore, periodic coverage surveys currently provide more complete and reliable results than the estimates based on ZJIIS alone. However, further improvement of completeness and accuracy of ZJIIS will likely allow more reliable and timely estimates in future.

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“…Funding patterns explain, in part, what appears to be a more balanced portfolio of PHI activities with a strong but smaller emphasis on surveillance. In developed nations with a strong integrated public health system such as Canada [145,146], Australia [147], Taiwan [27] and several European nations [148][149][150], PHI activities include an emphasis on integrating data and supporting bi-directional communication between clinical and public health services. Whereas in the US, PHI efforts have focused largely on EHR incentive policies that seek to improve how public health agencies gather the data they need to monitor the health of populations [29,33,151].…”

Section: Public Health Informaticsmentioning

confidence: 99%

What’s Past is Prologue: A Scoping Review of Recent Public and Global Health Informatics Literature

Dixon

Pina

Kharrazi

et al. 2015

OJPHI

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Objective: To categorize and describe the public health informatics (PHI) and global health informatics (GHI) literature between 2012 and 2014.Methods: We conducted a semi-systematic review of articles published between January 2012 and September 2014 where information and communications technologies (ICT) was a primary subject of the study or a main component of the study methodology. Additional inclusion and exclusion criteria were used to filter PHI and GHI articles from the larger biomedical informatics domain. Articles were identified using MEDLINE as well as personal bibliographies from members of the American Medical Informatics Association PHI and GHI working groups.Results: A total of 85 PHI articles and 282 GHI articles were identified. While systems in PHI continue to support surveillance activities, we identified a shift towards support for prevention, environmental health, and public health care services. Furthermore, articles from the U.S. reveal a shift towards PHI applications at state and local levels. GHI articles focused on telemedicine, mHealth and eHealth applications. The development of adequate infrastructure to support ICT remains a challenge, although we identified a small but growing set of articles that measure the impact of ICT on clinical outcomes.Discussion: There is evidence of growth with respect to both implementation of information systems within the public health enterprise as well as a widening of scope within each informatics discipline. Yet the articles also illuminate the need for more primary research studies on what works and what does not as both searches yielded small numbers of primary, empirical articles.Conclusion: While the body of knowledge around PHI and GHI continues to mature, additional studies of higher quality are needed to generate the robust evidence base needed to support continued investment in ICT by governmental health agencies.

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Immunisation registers in Italy: a patchwork of computerisation

Cited by 17 publications

References 5 publications

The importance of monitoring adverse drug reactions in pediatric patients: the results of a national surveillance program in Italy

The importance of monitoring adverse drug reactions in pediatric patients: the results of a national surveillance program in Italy

Evaluating Childhood Vaccination Coverage of NIP Vaccines: Coverage Survey versus Zhejiang Provincial Immunization Information System

What’s Past is Prologue: A Scoping Review of Recent Public and Global Health Informatics Literature

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