一个新的国家卫生系统：解决孕产妇免疫接种覆盖率数据质量问题的契机。

A new national health system: the opportunity to address data quality issues in maternal immunisation coverage.

作者信息

Hobbs Matthew, Young Amber, Turner Nikki, Dawson Pauline, Willing Esther, McIntyre Peter, McIntosh Christine G

机构信息

Faculty of Health | Te Kaupeka Oranga, University of Canterbury | Te Whare Wānanga o Waitaha, Christchurch | Otautahi, New Zealand; GeoHealth Laboratory | Te Taiwhenua o te Hauora, Geospatial Research Institute Toi Hangarau, University of Canterbury | Te Whare Wānanga o Waitaha, Christchurch | Otautahi, New Zealand.

School of Pharmacy | He Rau Kawakawa, University of Otago | Te Whare Wānanga o Ōtākou, Dunedin | Ōtepoti, New Zealand.

出版信息

N Z Med J. 2023 Jul 7;136(1578):94-99. doi: 10.26635/6965.6089.

DOI:10.26635/6965.6089

PMID:37414079

Abstract

AIM

Maternal immunisation coverage is suboptimal in Aotearoa New Zealand. Our objective was to highlight discrepancies resulting from how maternal immunisation coverage for pertussis and influenza is measured in Aotearoa New Zealand.

METHOD

A retrospective cohort study of pregnant people was undertaken using administrative datasets. Maternity and immunisation data from three sources (National Immunisation Register [NIR], general practice [GP], and pharmaceutical claims) were linked to determine the proportion of immunisation records not recorded in the NIR but captured in claims data, and to compare this with coverage data available from Te Whatu Ora - Health New Zealand.

RESULTS

We found that while increasing numbers of maternal immunisations are being captured in the NIR, around 10% remain unrecorded on the NIR, but within claims datasets.

CONCLUSION

Accurate maternal immunisation coverage data is important for public health action. Implementation of the whole-of-life Aotearoa Immunisation Register (AIR) is an important opportunity to improve completeness and consistency of maternal immunisation coverage reporting.

摘要