Immunization information systems: a decade of progress in law and policy.
Immunization information systems: a decade of progress in law and policy.
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DOI：
10.1097/phh.0000000000000040
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发表时间：
2015-05
期刊：
影响因子：
--
通讯作者：
Horlick G
中科院分区：
文献类型：
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作者：
Martin DW;Lowery NE;Brand B;Gold R;Horlick G
本文报告了美国各州和选定城市地区管理免疫信息系统（IIS，也称为“免疫登记处”）的法律，法规和政策的研究。该研究包括对相关法规、行政法规和已发表的总检察长意见/调查结果的搜索，由免疫规划管理人员和/或其工作人员完成的在线问卷，以及后续电话访谈。自2000年以来，IIS的法律的/监管框架发生了很大变化，主要是提高了IIS履行公共卫生职能的能力，同时继续保持严格的保密和隐私控制。尽管如此，在保健提供者和公共卫生部门之间以及在不同管辖区的实体之间交换免疫接种数据和其他卫生信息仍然很困难，部分原因是目前的监管多样性。为了继续成为卫生信息交流的领导者并促进儿童和成人的免疫接种，IIS将需要应对联邦和州立法、法规和政策相互作用所带来的挑战，并继续朝着互操作系统所需的标准化数据收集和共享方向发展。
This article reports on a study of laws, regulations, and policies governing Immunization Information Systems (IIS, also known as “immunization registries”) in states and selected urban areas of the United States. The study included a search of relevant statutes, administrative codes and published attorney general opinions/findings, an online questionnaire completed by immunization program managers and/or their staff, and follow-up telephone interviews. The legal/regulatory framework for IIS has changed considerably since 2000, largely in ways that improve IIS’ ability to perform their public health functions while continuing to maintain strict confidentiality and privacy controls. Nevertheless, the exchange of immunization data and other health information between care providers and public health and between entities in different jurisdictions remains difficult due in part to ongoing regulatory diversity. To continue to be leaders in health information exchange and facilitate immunization of children and adults, IIS will need to address the challenges presented by the interplay of federal and state legislation, regulations, and policies and continue to move toward standardized data collection and sharing necessary for interoperable systems.