Immunization Information Systems National Research and Evaluation Agenda

Kelly, J Sanchez; Zimmerman, Laura; Reed, Katie; Enger, Kyle S.

doi:10.1097/00124784-200701000-00007

Cited by 11 publications

(6 citation statements)

References 8 publications

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“…A lack of adequate information from vaccine providers regarding the vaccination status of each child to whom they should administer the recommended vaccines can significantly influence vaccination coverage, and it has been shown that the use of computerized, population‐based systems that collect and consolidate vaccination data is essential to this end . These systems not only support clinical decision making and provide vaccination coverage reports, but they can also help in vaccine inventory management and have the ability to generate RR messages.…”

Section: Health System Barriersmentioning

confidence: 99%

Barriers to the vaccination of children and adolescents and possible solutions

Esposito

Principi

Cornaglia

2014

Clinical Microbiology and Infection

125

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The benefits of vaccination are clearly demonstrated by the eradication or enormous decline in the incidence of many vaccine-preventable diseases, but the coverage of many highly recommended vaccines is still frequently inadequate and children continue to suffer from diseases that could have been prevented. The main aim of this paper is to discuss the recognized barriers to the vaccination of children and adolescents confronting national health systems, providers and parents, and the ways in which they can be overcome. Most of the problems underlying limited vaccination coverage among children are due to a lack of understanding on the part of healthcare providers and parents, which underlines the need for educational programmes specifically addressed to each of these groups. It is also essential that all of the physicians providing immunization develop approaches that acknowledge parents' concerns and respectfully try to correct any misinformation. Other means of extending vaccine coverage include the implementation of adequate systems for recording vaccine administration and the activation of effective reminder/recall systems, the provision of immunization services in some medical care specialties or by integrating healthcare sites, and the elimination or reduction of all the problems that currently limit access to vaccination services. However, it will take the combined efforts of healthcare systems and providers to pull down all of the barriers.

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Section: Health System Barriersmentioning

confidence: 99%

Barriers to the vaccination of children and adolescents and possible solutions

Esposito

Principi

Cornaglia

2014

Clinical Microbiology and Infection

125

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“…They have been promoted by immunization advisory bodies in the USA and Canada [17-20], and have been proposed as an alternative source of immunization status verification for the National Immunization Survey conducted annually in the USA [21]. However, it has been recognized that additional validation studies are needed to determine the accuracy of registry data and identify areas for improvement [1,16,21,22]. …”

Section: Introductionmentioning

confidence: 99%

The pot calling the kettle black: the extent and type of errors in a computerized immunization registry and by parent report

2014

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BackgroundAccurate classification of children’s immunization status is essential for clinical care, administration and evaluation of immunization programs, and vaccine program research. Computerized immunization registries have been proposed as a valuable alternative to provider paper records or parent report, but there is a need to better understand the challenges associated with their use. This study assessed the accuracy of immunization status classification in an immunization registry as compared to parent report and determined the number and type of errors occurring in both sources.MethodsThis study was a sub-analysis of a larger study which compared the characteristics of children whose immunizations were up to date (UTD) at two years as compared to those not UTD. Children’s immunization status was initially determined from a population-based immunization registry, and then compared to parent report of immunization status, as reported in a postal survey. Discrepancies between the two sources were adjudicated by review of immunization providers’ hard-copy clinic records. Descriptive analyses included calculating proportions and confidence intervals for errors in classification and reporting of the type and frequency of errors.ResultsAmong the 461 survey respondents, there were 60 discrepancies in immunization status. The majority of errors were due to parent report (n = 44), but the registry was not without fault (n = 16). Parents tended to erroneously report their child as UTD, whereas the registry was more likely to wrongly classify children as not UTD. Reasons for registry errors included failure to account for varicella disease history, variable number of doses required due to age at series initiation, and doses administered out of the region.ConclusionsThese results confirm that parent report is often flawed, but also identify that registries are prone to misclassification of immunization status. Immunization program administrators and researchers need to institute measures to identify and reduce misclassification, in order for registries to play an effective role in the control of vaccine-preventable disease.

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“…Previous research agendas in the area of public health IS noted the importance of attending to user needs 37,38. With a few exceptions (for example1,16) specific public health user perceptions or needs were not at the forefront of the reviewed literature.…”

Section: Discussionmentioning

confidence: 99%

Quality and integration of public health information systems: A systematic review focused on immunization and vital records systems

Vest

Kirk

Issel

2012

OJPHI

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Objectives:Public health professionals rely on quantitative data for the daily practice of public health as well as organizational decision making and planning. However, several factors work against effective data sharing among public health agencies in the US. This review characterizes the reported barriers and enablers of effective use of public health IS from an informatics perspective.Methods:A systematic review of the English language literature for 2005 to 2011 followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) format. The review focused on immunization information systems (IIS) and vital records information systems (VRIS). Systems were described according to the structural aspects of IS integration and data quality.Results:Articles describing IIS documented issues pertaining to the distribution of the system, the autonomy of the data providers, the heterogeneous nature of information sharing as well as the quality of the data. Articles describing VRIS were focused much more heavily on data quality, particularly whether or not the data were free from errors.Conclusions:For state and local practitioners to effectively utilize data, public health IS will have to overcome the challenges posed by a large number of autonomous data providers utilizing a variety of technologies.

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Immunization Information Systems National Research and Evaluation Agenda

Cited by 11 publications

References 8 publications

Barriers to the vaccination of children and adolescents and possible solutions

Barriers to the vaccination of children and adolescents and possible solutions

The pot calling the kettle black: the extent and type of errors in a computerized immunization registry and by parent report

Quality and integration of public health information systems: A systematic review focused on immunization and vital records systems

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