Calling the Shots: Immunization Finance Policies and Practices

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National Academies Press, Nov 13, 2000 - Medical - 332 pages
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Calling the Shots examines the basic strategies that finance the national immunization system in the current health care climate. It is a comprehensive volume, rich with data and highlighted examples, that explores:

  • The evolution of the system in light of changing U.S. demographics, development of new vaccines, and other factors.
  • The effectiveness of public health and health insurance strategies, with special emphasis on the performance of the "Section 317" program .
  • The condition of the infrastructure for control and prevention of infectious disease, surveillance of vaccines rates and safety, and efforts to sustain high coverage.

Calling the Shots will be an indispensable resource to those responsible for maintaining our nation's vaccine vigilance.

 

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Contents

Executive Summary
1
1 Introduction
18
2 Change and Complexity in the National Immunization System
54
3 Financing Vaccine Purchase and Delivery
71
4 Building Monitoring and Sustaining Immunization Capacity
103
5 Immunization Finance Policies and Practices
142
6 Summary Findings Conclusions and Recommendations
193
References
228
Appendix B Immunization TimeLine
250
Appendix C List of Contributors
253
Appendix D Overview of State Survey
261
Appendix E Overview of Case Studies and Site Visits
263
Appendix F Annual Section 317 Awards to States 19951999
271
Appendix G State Immunization Requirements for School Children
282
Appendix H Committee and Staff Biographies
287
Index
295

Appendixes
243
Appendix A Public Health Services Act Section 317
245

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