Journal article
Childhood immunization reporting laws in the United States: Current status
Vaccine, v 30(49), pp 7059-7066
19 Nov 2012
PMID: 23041124
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
► We analysed childhood immunization records laws in the U.S. ► We examined the differences among states and trends in types of laws adopted. ► Authorizing, reporting and implied consent provisions of the laws increased. ► We found considerable inter-state variability in types and content of laws. ► State innovation and federal incentive continue to trend favourably for IIS.
Immunization Information Systems (IIS), or registries, were developed to improve effectiveness and efficiency in immunization services. Complex laws that govern IIS and immunization records are developed at the state-level, interact with each other, and may impact utility for all immunization stakeholders. As states develop Health Information Exchange laws they may also interact with IIS laws.
To provide immunization stakeholders an overview of the laws applicable to healthcare providers and health departments. Comparisons are provided to illustrate the trends since the previous studies.
IIS relevant statutes, regulations and ordinances of jurisdictions (states, large cities) of 56 “Grantees” receiving funding under the 317b Public Health Service Act were identified via legal databases then systematically reviewed for authorization, reporting and consent requirements. Key provisions were coded and mapped according to 131 variables.
Including subsections, 984 laws across Grantees relate to immunization records, falling under many administrative sections of state and city government. Most Grantees have more than one law that addresses immunization records reporting, exchange and privacy protections. Not all of these laws are in alignment, but there is a trend toward increased Grantee IIS authorizing laws, mandated reporting and implied consent provisions. Of the 56 Grantees, 37 (66%) had IIS authorizing laws, and 46 (82%) had laws addressing healthcare provider and vital statistics reporting. However, much variation remains, even within the provisions of these laws. The coding instrument received 93.7% agreement and a K-α of 0.791.
The trend toward laws that encourage participation should continue to improve functionality and value, but inconsistencies among laws should be addressed, both across jurisdictions within states and between different states. They may impair the value of the information that is collected. Greater uniformity could improve the overall usefulness of IIS.
Metrics
Details
- Title
- Childhood immunization reporting laws in the United States: Current status
- Creators
- Erika M Hedden - University of the Sciences, Department of Health Policy and Public Health, 600 S. 43rd Street, Box 22, Philadelphia, PA 19104, United StatesAmy B Jessop - University of the Sciences, Department of Health Policy and Public Health, 600 S. 43rd Street, Box 22, Philadelphia, PA 19104, United StatesRobert I Field - Earle Mack School of Law & Drexel University School of Public Health, Drexel University, 3320 Market Street, Philadelphia, PA 19104, United States
- Publication Details
- Vaccine, v 30(49), pp 7059-7066
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Thomas R. Kline School of Law
- Web of Science ID
- WOS:000312053800016
- Scopus ID
- 2-s2.0-84869085940
- Other Identifier
- 991014877986404721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Immunology
- Medicine, Research & Experimental