Financing vaccines in the 21st century : assuring access and availability / Committee on the Evaluation of Vaccine Purchase Financing in the United States, Board on Health Care Services, Institute of Medicine.
The national immunization system has achieved high levels of immunization, particularly for children. However, this system faces difficult challenges for the future. Significant disparities remain in assuring access to recommended vaccines across geographic and demographic populations. These dispari...
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Full Text (via ProQuest) |
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| Other title: | Financing vaccines in the twenty-first century. |
| Format: | eBook |
| Language: | English |
| Published: |
Washington, D.C. :
National Academies Press,
©2004.
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| Subjects: |
Table of Contents:
- Introduction
- Background
- Conceptual framework for the study
- Study process
- Summing up
- Organization of the report
- Origins and rationale of immunization policy
- Legislative history of vaccine policy
- Shared federal and state responsibility for financing
- Shared public and private responsibility for coverage
- Public and private delivery systems
- Private vaccine production
- The setting national of vaccine policy
- Findings
- Public and private insurance coverage
- Public insurance coverage
- Private insurance coverage
- Barriers to a well-functioning immunization finance system
- Findings
- The delivery system
- Delivery of adult and childhood vaccines
- The work of immunizing
- Provider reimbursement
- Barriers to a well-functioning immunization delivery system
- Findings
- Vaccine supply
- Size and growth of the vaccine market
- Vaccine production
- Cost structure
- Research and development
- Industry concentration
- Regulation
- Pricing
- Shortages
- Stockpiles
- CDC contracting
- Barriers to a well-functioning vaccine supply system
- Findings
- Conclusions and alternative strategies
- Conclusions
- Alternative strategies
- Weighing the alternatives
- Recommendations
- Final observations.