Use of health care reimbursement data to estimate vaccination coverage in France: Example of hepatitis B, meningitis C, and human papillomavirus vaccination

Abstract

This novel routine vaccination coverage monitoring tool provides regularly updated reactive and reliable vaccination coverage estimates in children.

Apport des bases médico-administratives en épidémiologie et santé publique des maladies infectieuses

“…Le potentiel du PMSI (fiabilité et moindre coût) pour la surveillance et l'évaluation de maladies infectieuses a été démontré [17,51,60,63]. Les systèmes de surveillance des infections associées aux soins exposent la nécessité de développer de nouveaux outils pour une surveillance plus efficiente dans une conjecture économique contrainte [13,15,47,51,53]. Ainsi, les réseaux de surveillance des maladies infectieuses existants se renforcent et recherchent des indicateurs plus performants issus des BDMA [14,51,52,58,60].…”

“…La couverture vaccinale, avec 11 publications, était le sujet le plus étudié [39][40][41][42][43][44][45][46][47][48][49]. Ces études avaient pour objectif d'estimer le taux de couverture vaccinale (rougeole, hépatite B, papillomavirus, méningocoque C, grippe) ou d'évaluer l'impact budgétaire de la vaccination contre les infections à papillomavirus humains (HPV) [41].…”

“…Les auteurs déclarent ne pas avoir de liens d'intérêts. Papillomavirus [39,[41][42][43][44]47], hépatite B [39,40,47], grippe [45,46,49], autre [40,47,48] et impact budgétaire [41] DCIR [41,45,46,48] Autre-ERASME [43,49] Avant et après 2008 [39,41,46,47] Après 2008 [42][43][44][45]48,49] Infections ostéoarticulaires…”

Assessment of the impact of the extension of vaccination mandates on vaccine coverage after 1 year, France, 2019

“…Estimates of coverage for these antigens cannot be generated through the National Social Security Reimbursement Database because we excluded from the analysis all children in their first year of life with no reimbursement of any DTP-containing vaccine. This was to account for the very low percentage of children (estimated ca 5%) who benefit from free vaccination in the Maternal and Child Health clinics [11]. To estimate the coverage for hepatitis B, we computed the proportion of children vaccinated with a hexavalent vaccine with, as a denominator, the number of children receiving either a pentavalent or an hexavalent vaccine and multiplied this figure by the proportion of children receiving a DTP-containing vaccine, obtained by the analysis of the 24 months health certificates (99%), to account for children who do not receive any vaccine.…”

Estimation of vaccination coverage from electronic healthcare records; methods performance evaluation – A contribution of the ADVANCE-project

“…They have been described as both over- and underestimating vaccine coverage due to recall bias and incomplete records [6,7]. For some administrative data sources, such as reimbursement or insurance data, a clear denominator, the number of persons eligible for vaccination, is lacking [8,9]. In an effort to overcome such limitations, data sources have been merged.…”