A systems approach to improving timeliness of immunisation

Ross S. Bailie; Damin Si; Michelle C. Dowden; Christine E. Selvey; Catherine Kennedy; Rhonda Cox; Lynette O'Donoghue; Helen Liddle; Christine M. Connors; Sandra Thompson; Hugh Burke; Alex Brown

doi:10.1016/j.vaccine.2009.02.068

A systems approach to improving timeliness of immunisation

Ross S. Bailie^*, Damin Si, Michelle C. Dowden, Christine E. Selvey, Catherine Kennedy, Rhonda Cox, Lynette O'Donoghue, Helen Liddle, Christine M. Connors, Sandra Thompson, Hugh Burke, Alex Brown

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

13 Citations (Scopus)

Abstract

Timeliness of immunisation is important in achieving a protective effect at the individual and population levels. Recent international research has highlighted the importance of organisational features of the health system in timely immunisation. This paper reports on an analysis of the availability of records of timely delivery of childhood immunisations in Indigenous primary care services and organisational features of vaccination programs in different jurisdictions in Australia. The findings demonstrate wide variation in recorded timely delivery of immunisations between health centres within and between jurisdictions. Significant deficiencies in the approach to delivery and recording of immunisations appear to be principally related to fragmented systems of delivery, recording and communication between child health and primary care services. Understanding these deficiencies presents opportunities for improving timely immunisation.

Original language	English
Pages (from-to)	3669-3674
Number of pages	6
Journal	Vaccine
Volume	27
Issue number	27
DOIs	https://doi.org/10.1016/j.vaccine.2009.02.068
Publication status	Published - 2 Jun 2009
Externally published	Yes

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10.1016/j.vaccine.2009.02.068

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AU - Bailie, Ross S.

AU - Si, Damin

AU - Dowden, Michelle C.

AU - Selvey, Christine E.

AU - Kennedy, Catherine

AU - Cox, Rhonda

AU - O'Donoghue, Lynette

AU - Liddle, Helen

AU - Connors, Christine M.

AU - Thompson, Sandra

AU - Burke, Hugh

AU - Brown, Alex

PY - 2009/6/2

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AB - Timeliness of immunisation is important in achieving a protective effect at the individual and population levels. Recent international research has highlighted the importance of organisational features of the health system in timely immunisation. This paper reports on an analysis of the availability of records of timely delivery of childhood immunisations in Indigenous primary care services and organisational features of vaccination programs in different jurisdictions in Australia. The findings demonstrate wide variation in recorded timely delivery of immunisations between health centres within and between jurisdictions. Significant deficiencies in the approach to delivery and recording of immunisations appear to be principally related to fragmented systems of delivery, recording and communication between child health and primary care services. Understanding these deficiencies presents opportunities for improving timely immunisation.

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A systems approach to improving timeliness of immunisation

Abstract

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