Setting the Course: A Strategic Vision for Immunization -- Part 4: Summary of the Washington, D.C. Workshop Book

Contents

EXECUTIVE SUMMARY....................1
INTRODUCTION....................3
A NATIONAL PERSPECTIVE ON THE IMMUNIZATION SYSTEM....................6
The National Immunization Partnership....................6
The Institute of Medicine Study....................9
Response from the Centers for Disease Control and Prevention....................11
BUILDING THE IMMUNIZATION INFRASTRUCTURE....................15
State Perspectives....................15
Local Perspectives....................19
National Survey of State-Level Immunization Policies, Programs, and Practices....................20
Case Study Findings....................23
PRIVATE-SECTOR ROLES IN THE NATIONAL IMMUNIZATION PARTNERSHIP....................25
Immunization and Pediatric Practice....................25
Health Plan Incentives for Providers....................28
Business-Sector Roles....................31
UNRESOLVED PROBLEMS AND FUTURE CHALLENGES....................33
Increasing Vaccine Costs....................33
Changing Partnerships....................33
Immunization and Health Security....................34
Simplifying the Immunization System....................34
Stable Funding....................35
FINAL OBSERVATIONS....................36
REFERENCES....................38
APPENDIXES A Workshop Agenda....................41
B List of Workshop Participants....................44
C Website Referrals....................47