Keelan Jennifer, Lazar Harvey, Wilson Kumanan
Dalla Lana School of Public Health, Faculty of Medicine, University of Toronto, Toronto, ON.
Can J Public Health. 2008 Sep-Oct;99(5):376-9. doi: 10.1007/BF03405244.
Immunization is a public health area in which the intergovernmental challenges of formulating a national policy are evident. It is also an area in which harmonization of policy across Canada is particularly critical. The National Immunization Strategy was a F/P/T initiative designed to achieve this policy goal. The combination of national guidelines and flexible federal funding via a trust has, to date, been effective in improving equality of access to vaccines in provincial/territorial programmes with limited intergovernmental discord. The long-term success of the initiative will, however, largely depend on ongoing federal financial support and provincial/territorial views on national guidelines. This approach to immunization is a model that would lend itself well to other public health areas in which there is large variability in provincial/territorial programmes, where uniformity of programmes is particularly important and where there is a reluctance or inability of the federal government to legislatively mandate the harmonization of programmes.
免疫接种是一个能明显体现制定国家政策所面临的政府间挑战的公共卫生领域。它也是一个加拿大全国政策协调尤为关键的领域。国家免疫战略是联邦/省/地区共同发起的一项旨在实现这一政策目标的倡议。到目前为止，通过信托基金提供的国家指导方针和灵活的联邦资金相结合，有效地改善了省级/地区项目中疫苗获取的平等性，政府间分歧有限。然而，该倡议的长期成功在很大程度上将取决于联邦政府持续的财政支持以及省级/地区对国家指导方针的看法。这种免疫接种方法是一个很好的模式，适用于其他公共卫生领域，这些领域省级/地区项目差异很大，项目的一致性尤为重要，且联邦政府不愿或无法通过立法强制项目协调统一。
