Vaccines for Children Program: Hearing Before the Committee on Finance, United States Senate, One Hundred Fourth Congress, First Session, May 4, 1995, Volume 4U.S. Government Printing Office, 1995 - 136 pages |
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Expressions et termes fréquents
1995 The Honorable 20510 Dear Senator administration barriers to immunization Bob Packwood Center for Health CHAIRMAN CHAN chil child childhood immunization Children program Children VFC Children's Health Fund children's immunizations Committee cost of vaccine David Satcher Dear Senator Packwood delivery Department of Health Director doctor doses eligible enrolled EPSDT factors families federal efforts financing free vaccine funds George Washington University goal health care providers Health Policy Research immunization levels immunization program immunization rates increase managed care measles Medicaid Medicaid managed medical home missed opportunities NOVICK Oregon ORENSTEIN parents patients pediatricians Pediatrics pertussis polio preschool preventive private physicians private providers private sector problem public clinics public health clinics Redlener Robert Packwood SATCHER Senate Office Building Senator MOYNIHAN South Dakota underimmunization universal distribution vaccination schedule vaccine cost vaccine purchase Vaccines for Children VFC program VFC vaccine visits Washington University Center York
Fréquemment cités
Page 68 - Szilagyi PG, Rodewald LE, Humiston SG, et al, "Missed Opportunities for Childhood Vaccinations in Office Practices and the Effect on Vaccination Status. Pediatrics, 1993; 91:1-7. 'Huch-Ross HS, O'Connor KG, "Immunization Referral Practices of Pediatricians in the United States".
Page 42 - Practices (ACIP), the American Academy of Pediatrics (AAP), the American Academy of Family Physicians ( AAFP) and the American Medical Association (AMA).
Page 60 - Lee SH, Ewert DP, Frederick PD, Mascola L. Resurgence of Congenital Rubella Syndrome in the 1990s: Report on Missed Opportunities and Failed Prevention Policies Among Women of Childbearing Age.
Page 29 - ... of vaccine cost as a barrier for parents in immunizing their children. First, however, I would like to underscore the importance of vaccines and the critical role that they play in protecting children from potentially serious diseases. Vaccines are the most cost-effective health intervention known. Section 13631 of the Omnibus Budget Reconciliation Act of 1993 created VFC as an entitlement program to provide free vaccine to children 18 and younger who are eligible for Medicaid, Native American...
Page 60 - Hutchins SS, Escolan J, Markowitz LE, et al. Measles outbreak among unvaccinated preschool-aged children: opportunities missed by health care providers to administer measles vaccine. Pediatrics 1989:83:369-74.
Page 31 - To summarize, the studies we examined and the other sources of information available to us lacked sufficient evidence to conclude that the major factor addressed by VFC, vaccine cost, has been a significant barrier to immunization. It appears that efforts to address a variety of other barriers may be equally or more important in improving immunization levels. We have discussed our findings and conclusions with responsible CDC officials. They are in general agreement with our finding that there is...
Page 54 - Medicaid rates are already among the lowest paying thirdparty payers, further discounting rates hi managed care can leave providers without sufficient funds to provide needed care. (Freund, et. al., 1989) As a result, care may either be withheld or delayed, leading to greater costs incurred by other providers or picked up by the state or counties through other routes. Therefore, while low rates may appear to achieve savings, they may simply result in cost avoidance or cost shifting.
Page 68 - JM, Bown GR, Zetzman MR, et al, "Changing Immunization Referral Patterns Among Pediatricians and Family Practice Physicians, Dallas County, Texas, 1988.
Page 31 - General Accounting Office, Childhood Immunization: Opportunities to Improve Immunization Rates at Lower Cost (GAO/HRD-93-41, March 24, 1993).