군포시 국가필수예방접종 보장범위확대 시범사업 경험 = Experience on Demonstration Project for Expansion of National Immunization Program Coverage in Gunpho City, Korea

다국어 초록 (Multilingual Abstract)

Objectives: This study was designed to evaluate the feasibility for expansion of national immunization program coverage in Gunpho city, Korea. We expected this project to improve registration rate of private medical facilities, immunization coverage rate, quality of vaccination.
Methods: The period of this project was from Jul 1, 2005 to Dec 31, 2005. And demonstration project area was Gunpho city in Gyeonggi-Do, the number of target population (0~12 years old) was 54,535 persons. Among the 134 private medical facility including 1 general hospital, 7 hospitals and 126 clinics, 64 (47.8%) was participated in demonstration project. Data for analysis utilized main dataset of server computer which registered computerized immunization registry system and documents of project management team. The main focus for analysis was immunization rate, registration of participated medical institutions, total number of institution for immunization per 1 target person. Results: The immunization rate of 1st vaccination of DTaP was 97.6%, a share of immunization of health center decreased from 39.3% to 10.2%, but that of private medical institution increased rapidly. The waiting time for vaccination was 1 minute 28 seconds in health center, 10 minute 56 seconds in private institution. The time of judging for cost reimbursement by computerized aided system was 22.4 seconds and the rate of this day registration from vaccination to registration on the national immunization registry system was 99.1% in health center, 94.3% in private institution. The average number of institutions per 1 target person for immunization was 1.08, 7.5% of target person changed immunization institution during 5 months. Conclusions: The demonstration project in Gunpho city revealed positive results in the aspect of vaccination rate, registration rate and quality, consumer's accessibility, quality of vaccination service. Therefore, the more aggressive participation of private medical institution is expected to improve the expansion of national immunization program coverage.

참고문헌 (Reference)

1 진선미, "초등학교 입학생의 예방접종실태와 적기예방접종 관련 요인" 충남대학교 대학원 22-24, 2006

2 이석구, "전국민 예방접종등록사업의 평가와 지역사회 예방접종기록보고 관리체계의 효율화 방안 연구" 충남대학교, 국립보건원 2001

3 이종구, "우리나라의 예방접종사업 현황, 문제점 및 향후 정책방향" 4 (4): 161-177, 2000

4 김정순, "우리나라 예방접종사업의 현황과 환류를 위한 평가지표 및 모형의 개발" 35 (35): 1-10, 1998

5 이석구, "예방접종서비스의 질 향상을 위한 예방접종 등록지침 개발" 충남대학교, 질병관리본부 2005

6 이중정, , , , , , , , , , , , , ,, "예방접종비 보건소 지불방식도입을 위한 대구광역시 시범사업에서의 BCG, DTaP, IPV 예방접종률 및 보건소 예방접종 분담률" 한국모자보건학회 11 (11): 33-43, 2007

7 이석구, "예방접종등록정보를 활용한 예방접종력 확인사업과 보안관리업무 개발" 충남대학교, 질병관리본부 2005

8 이석구, "예방접종등록 및 전염병예측관리 정보시스템 개발사업" 충남대학교, 비트컴퓨터 2004

9 김은영, "영유아의 적기 예방접종률과 관련요인" 충남대학교 대학원 24-25, 2006

10 김혜련, "영유아 예방접종사업 개선 방안" 보건복지부 2000

11 이건세, "보건소 예방접종 전산프로그램의 운영 현황 분석" 한국보건행정학회 13 (13): 67-84, 2003

12 최수아, "보건소 예방접종 전산등록데이터의 개인접종내역 분석" 서울대학교 보건대학원 2003

13 강진한, "국가필수예방접종 보장범위 확대사업의 필요성과 시범사업 결과" 한국소아감염병학회 50 (50): 660-661, 2007

14 김영택, "국가필수예방접종 보장범위 확대" 48 (48): 579-586, 2005

15 이무식, 이건세, 이석구, 홍지영, 김영택, 김대경, 신의철, 이연경, 기몽서, 나백주, 김은영, 김건엽, "국가예방접종전산등록체계 개발을 위한 민간의료기관 하부구조 및 환경 조사연구" 한국모자보건학회 7 (7): 193-206, 2003

16 신의철, "국가예방접종률 조사방법 개발 및 예방접종사업 평가지표개발" 질병관리본부, 가톨릭대학교, 건양대학교 2005

17 배상수, "Voucher 방식의 국가예방접종사업 도입방안 연구" 한림대학교, 국립보건원 2001

18 Hull BP, "Timeliness of childhood immunisation in Australia" 24 (24): 4403-4408, 2006

19 Sinn JS, "The purpose and functions of immunization information systems within health care organizations" 151 (151): 615-620, 1997

20 Wood D, "Immunization registries in the United States: implications for the practice of public health in a changing health care system" 20 : 231-255, 1999

21 Santoli JM, "Immunization pockets of need, science and practice" 19 (19): 89-98, 2000

22 Plotkin SL, "A short history of vaccinations, vaccines" WB Saunders company 1-11, 1994