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Executive Summary
Pages 1-3

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From page 1...
... , pointed to the instability of the fundamental infrastructure that supports immunization programs throughout the United States, including growing financial burdens and operational complexities in immunization services, shortcomings in public- and private-sector investments in vaccine purchases and immunization programs, and fluctuations in insurance plans in the public and private health care sectors that create uncertainties regarding coverage of vaccine purchase and service delivery arrangements. Calling the Shots recommended renewing and strengthening the federal-state partnership at the heart of the national immunization system, expanding strategic investments in immunization efforts, and fostering closer collaboration between public and private health care systems.
From page 2...
... use primary care and public health resources efficiently in achieving national immunization goals. In October 2001, a group of about 50 health officials, public health experts, health care providers, health plan representatives and purchasers, state legislative officials, and community leaders met at the Texas Medical Association in Austin to explore the implications of the IOM findings and recommendations for Texas.
From page 3...
... Speakers and discussants explored the feasibility of developing annual reminder notices for high-risk children from vaccine registries as well as creating a universal vaccine purchase program that might draw on public funding from federal and state sources as well as private funding from health plans, insurers, employers, and other purchasers of health care services. The discussions among the IOM workshop participants also reflected the concerns about health security raised by the September 11, 2001, terrorist attacks, which occurred in the weeks just before the Austin workshop.


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