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Niżankowski Rafał (Uniwersytet Jagielloński), Koperny Magdalena (Stacja Sanitarno-Epidemiologiczna w Krakowie), Kargul Agnieszka (Stacja Sanitarno-Epidemiologiczna w Krakowie), Seweryn Michał (Uniwersytet Jagielloński Collegium Medicum.)
Availability of Pneumococcal Vaccination Programmes in Europe. An Overview of Funding Mechanisms
Journal of Health Policy and Outcomes Research, 2013, nr 1, s. 38-49, rys., tab., bibliogr. 14 poz.
Słowa kluczowe
Ochrona zdrowia, Finansowanie ochrony zdrowia, Wydatki na ochronę zdrowia
Health care protection, Health care financing, Expenditures on health care
Increasing antibiotic resistance is a global problem. Vaccinations is one of the best solution to reduce the burden of infectious diseases. Despite universal access to antibiotics, pneumococci still are one of the major causes of morbidity and mortality in both developing and developed countries. Criteria for making the decision on financing immunisation are similar in many countries and include identifying the target groups based on epidemiological risk, the clinical efficacy and safety of a vaccine, and the economic aspects of the implementation of vaccination. To reduce the risk of diseases caused by Diplococcus pneumoniae pneumococcal conjugate vaccine (PCV) is included in national immunisation programmes in most countries. The paper describe international differences of organisations and funding mechanisms for pneumococcal vaccination. The analysis covered 34 countries in Europe. The study analyzed availability and type of vaccines used in vaccination programmes, children in the target age group to vaccination, vaccination financing, level of co-payment to vaccination for children and mechanism of purchasing vaccines. In most European countries, PCV is included in national immunisation programmes. The differences regard the availability of two types of conjugate pneumococcal vaccines (10-valent and 13-valent). The method of recommending vaccines, mechanism of purchasing and funding in different countries is varies.(original abstract)
Pełny tekst
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