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        델파이기법을 활용한 국가 공공(公共)백신 연구개발 정책수립 기초조사

        이소민 ( Somin Lee1 ),여상구 ( Sanggu Yeo ),강신정 ( Shinjung Kang ),한순영 ( Soonyoung Han ),이상원 ( Sangwon Lee ) 한국보건행정학회 2015 보건행정학회지 Vol.25 No.2

        Background: Vaccination is the most powerful and useful preparation against infectious diseases. However, developing vaccines costs a lot and requires extensive long-term efforts. Therefore, the government should research and develop vaccines with a national-level policy. To greatly enhance the success rate of vaccine development, the policy should be set up considering priorities such as the current status of domestic research, the importance for public health, the urgency of research. Methods: The Delphi technique was utilized to draft this survey, through a brainstorming stage, then two inquiries, and finally the final panel meeting where unresolved items were discussed, to draw the conclusion. Results: Among the results, firstly, the highest ranked item on centralized fields for vaccine development by the Ministry of Health was ‘self-sufficiency of vaccines.’ Secondly, ‘emerging infectious disease’ was most highly ranked in prioritized fields of vaccine development and research. Thirdly, for the vaccine that needs to be improved and developed further by the government to improve its efficacy and safety, BCG (Bacille de Calmette) for tuberculosis was ranked the highest on both types (intradermal and subcutaneous injection) from National Immunization Programme (NIP) and non-NIP. As for the high risk pathogens, ‘anthrax’ and ‘smallpox’ were first and second, consecutively. Lastly, ‘development and control of vaccine candidates’ was ranked the highest for the area in need for technique development in order to improve domestic vaccine’s research level. Conclusion: The results of this study will be put to good use as basic data for the national vaccine research and development (R&D) policy of the country. This study was first step and more studies should be carried out for the final decision of the national vaccine R&D priority.

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