I.

국가예방접종전산등록체계 개발을 위한 민간의료기관 하부구조 및 환경

Environment and Infrastructure for Development of National Immunization Electronic Registry in Private Practice Setting in Korea

Moo-Sik Lee, Eun-Young Kim, Bak-Ju Na, Kun-Sei Lee*, Seok-Gu Lee↕, Dae-kyung Kim, Jee-young Hong

Dept. of Preventive Medicine, Konyang University College of Medicine

* Dept. of Preventive Medicine, Konkuk University College of Medicine

↕Dept. of Preventive Medicine, Chungnam National University College of Medicine

Abstract: Immunizations have been one of the most effective measures preventing from infectious diseases. This study was performed to evaluate the environment and infrastructure for development of National Immunization Electronic Registry in private practice setting. At the result of analysis, the computerization rate(non-chart system) of private local clinic for managing method of vaccination record was 45%. 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%.

Keyword: Immunization, Immunization Registry, Infrastructure, Computerization

Background

Immunizations have been one of the most effective measures preventing from infectious diseases. It is quite important national infectious disease prevention policy to keep the immunizations rate high and monitor the immunizations rate continuously. To do this, Korean CDC introduced the National Immunization Registry Program(NIRP) which has been implementing since 2000 at the Public Health Centers(PHC). The National Immunization Registry Program will be near completed after sharing, connecting and transferring vaccination data between public and private sector.

Ⅱ. Methods

The mail survey was done from 2001 October to December. 502(25.1%) private local clinic were responded among 2000 private local clinic which was randomized sample of private local clinic in Korea.

Ⅲ. Results

At the result of analysis, 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 must to be performed. 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%.

Ⅳ. Conclusion

It was concluded that it was enough to computerization for immunization record. 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.

Ⅳ. References

1. 이종구, 우리나라 예방접종사업 현황, 문제점 및 향후 정책방향, 한국모자보건학회지 4(2), 2000

2. 김혜련, 영유아 예방접종사업의 관리현황과 정책과제, 보건복지포럼 2001. 9

3. 신의철, 국가예방접종등록 전산망사업 평가 및 성공전략, 카톨릭대학교 의과대학 예방의학교실, 2001.