An Education in Contrast: State-by-State Assessment of School Immunization Records Requirements

作者：Hedden Erika M^*; Jessop Amy B; Field Robert I

来源：American Journal of Public Health, 2014, 104(10): 1993-2001.

DOI：10.2105/AJPH.2014.302078

Objectives. We reviewed the complexities of school-related immunization policies, their relation to immunization information systems (IIS) and immunization registries, and the historical context to better understand this convoluted policy system. %26lt;br%26gt;Methods. We used legal databases (Lexis-Nexis and Westlaw) to identify school immunization records policies for 50 states, 5 cities, and the District of Columbia (Centers for Disease Control and Prevention %26quot;grantees%26quot;). The original search took place from May to September 2010 (cross-referenced in July 2013 with the list on http://www.immunize.org/laws). We describe the requirements, agreement with IIS policies, and penalties for policy violations. %26lt;br%26gt;Results. We found a complex web of public health, medical, and education-directed policies, which complicates immunization data sharing. Most (79%) require records of immunizations for children to attend school or for a child-care institution licensure, but only a few (11%) require coordination between IIS and schools or child-care facilities. %26lt;br%26gt;Conclusions. To realize the full benefit of IIS investment, including improved immunization and school health program efficiencies, IIS and school immunization records policies must be better coordinated. States with well-integrated policies may serve as models for effective harmonization.

• 出版日期2014-10