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이무식 ( Lee Moo-Sik ) - 건양대학교 의과대학 예방의학교실
김은영 ( Kim Eun-Young ) - 건양대학교 의과대학 예방의학교실
이건세 ( Lee Kun-Sei ) - 건국대학교 의과대학 예방의학교실
이석구 ( Lee Suk-Koo ) - 충남대학교 의과대학 예방의학교실
홍지영 ( Hong Jee-Young ) - 건양대학교 의과대학 예방의학교실
김건엽 ( Kim Keon-Yeop ) - 건양대학교 의과대학 예방의학교실
김대경 ( Kim Dae-Kyung ) - 건양대학교 의과대학 예방의학교실
신의철 ( Shin Eui-Chul ) - 가톨릭대학교 의과대학 예방의학교실
이연경 ( Lee Yeon-Kyung ) - 국립보건원 방역과
기몽서 ( Ki Mong-Seo ) - 주식회사 비트컴퓨터
나백주 ( Na Baeg-Ju ) - 건양대학교 의과대학 예방의학교실
김영택 ( Kim Young-Taek ) - 국립보건원 방역과
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Abstract
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Objectives : Immunizations have been one of the most effective measures for preventing infectious diseases. It is an important for national infectious disease prevention policy to keep the immunization rate high and monitor the immunization rate continuously. To do this, Korean CDC introduced the National Immunization Registry Program (NIRP) which has been implemented since 2000 at the Public Health Centers(PHC). NIRP will be completed when public and private sectors share, connect and transfer vaccination data. This study was performed to evaluate the environment and infrastructure for development of National Immunization Electronic Registry in private practice setting.
Methods : The mail survey was done from October to December 2001. 502clinics had responded. Among 2000 private local clinics were randomly sampled from all of the
private local clinics in Korea.
Results : The computerization rate (non-chart system) of private local clinic for managing method of vaccination record was 45%. The respondent of private local clinic said that the effort in computerization of private clinic is needed quickly for the regional or National Immunization Registry Program. It was revealed that only about a half of private local clinic managed vaccination record according to the law of prevention and control of infectious disease. Therefore it was regarded that the education and PR about the importance and guidelines of immunization record need be performed. And it was also needed that the concise and simplification of managing work related immunization record just like not only the standardization of immunization record form but also the unification of duplicated form of immunization record. In the current status of the computerization infrastructure in local clinic, the using rate of computer was 83.1% and the using rate of non-chart system for health insurance claims was 96.4%. Therefore it was concluded that it was enough to computerization for immunization record.
Conclusions : But each local clinic used different immunization module and the using rate of immunization module in non-chart system was low. It was essential that the development and offer of standardized immunization module and programme to local private clinic or medical software programme development company should be performed for efficient and effective managing the immunization record and related information. And the plan for continuous and active participation of the private health sector should be developed for the successful enforcement of National Immunization Registry Programme.
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KeyWords
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immunization, registry, environment, infrastructure, private clinic
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원문 및 링크아웃 정보
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등재저널 정보
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