Immunization registry: problems and prospects for boosting vaccine coverage of children.
Case studies are presented on three organizational models for immunization registries in local communities: agency-based, facility-based, and population-based systems. The strengths and limitations of the respective approaches are highlighted. Each model faces three similar challenges: generating "real-time" information on the status of children who fall behind on their immunizations, assuring confidentiality of registrants and medical information, and maintaining operations amidst adverse social conditions that are at the root of underimmunization of children. With sufficient resources and cooperation among many private and public interests, registries have considerable potential to increase vaccination coverage among our population.
Gregorio
D I
DI
University of Connecticut School of Medicine, Farmington, USA.
St John
T Y
TY
Baker
K M
KM
Christison-Lagay
J
J
O'Connor
D
D
Gunas
H
H
D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D002675:Child, Preschool; D003153:Community Health Services / Q000458:organization & administration*; D003237:Connecticut; D006801:Humans; D017589:Immunization Programs / Q000458:organization & administration*; D007223:Infant; D007231:Infant, Newborn; D011159:Population Surveillance; D012042:Registries; D014611:Vaccination / Q000706:statistics & numerical data*