Adult vaccination: Now is the time to realize an unfulfilled potential.

Adult vaccination: Now is the time to realize an unfulfilled potential.
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DOI:
10.4161/21645515.2014.982998
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发表时间:
2015
影响因子:
4.8
通讯作者:
Tan L
Tan L
中科院分区:
医学3区
文献类型:
--
作者:
Tan L

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每年,在美国和全球各地,疫苗可预防的疾病导致数千名成年人死亡,给世界卫生保健系统造成重大人员伤亡和严重的经济负担。在美国,虽然免疫接种被认为是改善健康和福祉的最有效的初级预防服务之一,但成人免疫接种率仍然很低,国家成人免疫接种目标与实际成人免疫接种率之间存在巨大差距。缩小这些差距需要国家领导人致力于多方面的国家战略,以:(1)在公众,付款人,政策制定者和卫生保健专业人员的眼中建立成人疫苗的价值;(2)通过改善美国成人疫苗基础设施和发展公私合作伙伴关系来促进有效的免疫接种行为,从而改善推荐的成人疫苗接种的可及性;(3)确保成人免疫接种费用的公平和适当支付。导致美国成人免疫接种率低的许多情况也存在于世界上许多其他国家。提高成人免疫覆盖率的成功战略将导致发病率、死亡率和医疗保健费用的降低。所有医疗和公共卫生利益相关者现在必须合作,以实现强大的成人免疫计划带来的重大健康效益。
Each year, vaccine-preventable diseases kill thousands of adults, both in the United States and across the planet, causing a significant human toll and severe economic burden on the world's healthcare systems. In the United States, while immunization is recognized as one of the most effective primary prevention services that improves health and well-being, adult immunization rates remain low and large gaps exist between national adult immunization goals and actual adult immunization rates. Closing these gaps requires a commitment by national leaders to a multifaceted national strategy to: (1) establish the value of adult vaccines in the eyes of the public, payers, policy makers, and health care professionals; (2) improve access to recommended adult vaccinations by improving the adult vaccine infrastructure in the United States and developing public-private partnerships to facilitate effective immunization behaviors; and (3) ensure fair and appropriate payment for adult immunization. Many of the situations that result in low adult immunizations rates in the United States also exist in many other countries around the world. Successful strategies to improve adult immunization coverage rates will result in reductions in morbidity, mortality, and healthcare costs. All medical and public health stakeholders must now collaborate to realize the significant health benefits that come with a strong adult immunization program.