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The national immunization system has achieved high levels of immunization, particularly for children. However, this system faces difficult challenges for the future. Significant disparities remain in assuring access to recommended vaccines across geographic and demographic populations. These disparities result, in part, from fragmented public–private financing in which a large number of children and adults face limited access to immunization services. Access for adults lags well behind that of children, and rates of immunizations for those who are especially vulnerable because of chronic health conditions such as diabetes or heart and lung disease, remain low.
Financing Vaccines in the 21st Century: Assuring Access and Availability addresses these challenges by proposing new strategies for assuring access to vaccines and sustaining the supply of current and future vaccines. The book recommends changes to the Advisory Committee on Immunization Practices (ACIP)-the entity that currently recommends vaccines-and calls for a series of public meetings, a post-implementation evaluation study, and development of a research agenda to facilitate implementation of the plan.
Contents
- THE NATIONAL ACADEMIES
- COMMITTEE ON THE EVALUATION OF VACCINE PURCHASE FINANCING IN THE UNITED STATES
- Independent Report Reviewers
- Executive Summary
- 1. Introduction
- 2. Origins and Rationale of Immunization Policy
- 3. Public and Private Insurance Coverage
- 4. Delivery Systems
- 5. Vaccine Supply
- 6. Conclusions and Alternative Strategies
- 7. Recommendations
- References
- Glossary
- Appendix A Recommended Vaccine Schedules (Childhood and Adult)
- Appendix B List of Contributors
- Appendix C Survey of State Vaccine Finance Practices
- Appendix D Overview of Commissioned Papers
- Appendix E Committee and Staff Biographies
Support for this project was provided by the Centers of Disease Control and Prevention. The views presented in this report are those of the Institute of Medicine Committee on the Evaluation of Vaccine Purchase Financing in the United States and are not necessarily those of the funding agencies.
NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.
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- Financing Vaccines in the 21st CenturyFinancing Vaccines in the 21st Century
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