A National Survey of Immunization Programs Regarding Immunization Information Systems Data Sharing and Use 公开

Curran, Eileen Ann (2013)

Permanent URL: https://etd.library.emory.edu/concern/etds/np193977c?locale=zh
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Abstract

Objective: To determine and characterize practices regarding data sharing and usage (particularly for research purposes) in Immunization Information Systems (IIS), as well as barriers to using such data.

Methods: We surveyed immunization program managers (IPMs) associated with all 64 CDC grantee immunization programs between July and September, 2012.

Results: Over 95% of IPMs responded (61/64). The top two barriers reported by IPMs to using IIS data for research were insufficient time and too few employees, irrespective of whether or not the jurisdiction reported using data for research purposes. IPMs who agreed with the statement "research is part of the mission of an immunization program" were more likely to report using data for research (p=0.045). Among those who responded, the most common kind of IIS research conducted involved determinants of vaccination coverage (N=24/26, 92%). A greater percentage of IPMs in jurisdictions that reported using IIS data for research reported having data sharing agreements in place. Immunization programs that have used IIS data for research were more likely to report online IIS provider enrollment, integration with insurance company records, and integration with hospital records. Alternatively, immunization programs that did not report using IIS data for research were more likely to have IIS with modules addressing topics such as adverse event reporting, smallpox, and first responder vaccination.

Conclusion: Staff size and time were the two most cited barriers to conducting research with IIS data. Therefore, focus should also be placed on providing immunization programs with the resources needed to conduct such research.

Table of Contents

Contents
Chapter I: Background/Literature Review .....................................................1
Introduction ...........................................................................................1
Methods ................................................................................................3
Results: .................................................................................................5
Discussion and Conclusion: ........................................................................7
Chapter II: Manuscript ............................................................................11
Introduction ..........................................................................................11
Methods ...............................................................................................12
Results .................................................................................................16
Discussion .............................................................................................20
Strengths and Limitations .........................................................................22
Conclusion .............................................................................................23
References ............................................................................................24
Figures and Tables: .................................................................................29
Chapter III: Summary, Public Health Implications, Possible Future Directions .......36

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