Setting the Course A Strategic Vision for Immunization: Part 2: Summary of the Austin Workshop (2002) / Chapter Skim
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Provider Perspectives
Provider Perspectives
Pages 24-30
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From page 24... ...
for preschool-age children often suffer because children do not receive the fourth dose of DTaP at the recommended time. The successful introduction of a new vaccine requires actions by federal and state officials and by parents, health care providers, and insurers.
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From page 25... ...
With a strong base of immunization providers in the private sector participating in VFC, the health department could devote additional resources to provider education on topics such as vaccine handling and storage, immunization assessments and reminder/recall systems, and vaccine safety concerns. The barriers to participation in VFC identified by Dr.
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From page 26... ...
Also, health departments have limited resources to devote to assessments of immunization coverage in provider practices under the AFIX program. The immunization registries have great potential as a tool for improving immunization coverage rates and reducing the levels of overimmunization, but the usefulness of the Texas registry is reduced by the opt-in provision that results in the omission of children and by restricted access that prevents some immunization providers from checking immunization records or recording the immunizations that they have provided.
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From page 27... ...
Obstetricians, for example, should be encouraged to immunize pregnant women who will be in their second or third trimester during the winter flu season. Immunization helps protect them against pneumonia, for which they have an increased risk, and produces maternal antibodies that help protect their infants.
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From page 28... ...
Providers incur not only the costs for vaccine but also costs for other materials and activities associated with vaccination, including syringes and other supplies, vaccine storage and inventory management, maintenance of office records, billing, and submission of records to the immunization registry. In addition, providers participating in capitated health plans may find that they are obligated to provide newly recommended vaccines without any adjustment in payments until a new contract is negotiated.
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From page 29... ...
If immunizations are not covered, parents must be willing to pay providers directly or seek immunizations from another source, such as the local health department or a clinic qualified to provide services to underinsured individuals under VFC. At present, however, pneumococcal vaccine purchased by the state is not available to underinsured children.
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From page 30... ...
Such a system may have the potential to alleviate problems such as confusion over insurance coverage and vaccine-related financial burdens for private providers. It might be possible to develop a public-private collaboration to fund universal purchase by involving insurers and health plans, which already have obligations to provide vaccines or cover vaccine costs.
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