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中国预防接种不良反应补偿方案综述。

A review of China's compensation program for adverse reactions following immunization.

机构信息

School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China.

出版信息

Front Public Health. 2023 Aug 7;11:1211976. doi: 10.3389/fpubh.2023.1211976. eCollection 2023.

DOI:10.3389/fpubh.2023.1211976
PMID:37608980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10440378/
Abstract

Vaccination is a compelling measure to battle infectious diseases and protect public health. However, because of the constraints on human cognition, it is difficult to ensure that vaccines are safe. Adverse reactions to immunization can cause individual injury. In numerous countries, no-fault programs have been established to compensate individuals for vaccine-related injuries. China also established a vaccine injury compensation system with its own unique characteristics. The Vaccine Administration Law was promulgated in 2019 to establish a compensation system for those who experience adverse reactions following immunization; nevertheless, the compensation system is imperfect. Even when the applicable terms are applied to deal with vaccine-related injuries, some issues remain, such as unreasonable diagnosis and evaluation procedures for adverse reactions, excessively strict standards regarding proof and inconsistent compensation standards across the country. Therefore, to provide effective compensation for vaccine recipients, it is important to clarify the standards of proof and establish a sensible vaccine injury compensation system that includes Corona Virus Disease 2019 vaccine-injury compensation.

摘要

疫苗接种是应对传染病和保护公众健康的有力措施。然而,由于人类认知的限制,很难确保疫苗的安全性。免疫接种的不良反应会导致个体受伤。在许多国家,都建立了无过错计划,以赔偿因疫苗相关伤害的个人。中国也建立了具有自身特色的疫苗损害赔偿制度。2019 年颁布了《疫苗管理法》,为接种后出现不良反应的人建立了赔偿制度;然而,该赔偿制度并不完善。即使在适用条款来处理疫苗相关伤害时,也存在一些问题,例如不良反应的诊断和评估程序不合理、证明标准过于严格以及全国赔偿标准不一致。因此,为了为疫苗接种者提供有效的赔偿,明确证明标准并建立合理的疫苗损害赔偿制度,包括新冠病毒病 2019 疫苗损害赔偿制度,是很重要的。

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Editorial: Children's health and safety: what we learned from the COVID-19 pandemic and future policy's perspective.社论:儿童健康与安全:从新冠疫情中吸取的教训及未来政策视角
Front Public Health. 2023 Jun 6;11:1220977. doi: 10.3389/fpubh.2023.1220977. eCollection 2023.
2
Vaccination as an Equaliser? Evaluating COVID-19 Vaccine Prioritisation and Compensation.接种疫苗能实现公平吗?评估 COVID-19 疫苗的优先顺序和补偿。
Med Law Rev. 2022 Dec 8;30(4):584-609. doi: 10.1093/medlaw/fwac020.
3
The unintended consequences of COVID-19 vaccine policy: why mandates, passports and restrictions may cause more harm than good.COVID-19 疫苗政策的意外后果:为什么强制接种、疫苗护照和限制措施可能弊大于利。
BMJ Glob Health. 2022 May;7(5). doi: 10.1136/bmjgh-2022-008684.
4
Current situation of vaccine injury compensation program and a future perspective in light of COVID-19 and emerging viral diseases.从 COVID-19 和新发病毒性疾病的角度看疫苗损伤赔偿计划的现状和未来展望。
F1000Res. 2021 Jul 26;10:652. doi: 10.12688/f1000research.51160.2. eCollection 2021.
5
COVAX no fault compensation program for COVID-19 vaccine injuries in 92 low and middle income countries.针对92个低收入和中等收入国家新冠疫苗接种损伤的COVAX无过错补偿计划。
Vaccine. 2021 Dec 3;39(49):7128-7130. doi: 10.1016/j.vaccine.2021.10.047. Epub 2021 Oct 28.
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"First Do No Harm". No-Fault Compensation Program for COVID-19 Vaccines as Feasibility and Wisdom of a Policy Instrument to Mitigate Vaccine Hesitancy.“首要之务,不造成伤害”。新冠疫苗无过错补偿计划作为缓解疫苗犹豫的政策工具的可行性与明智性。
Vaccines (Basel). 2021 Sep 30;9(10):1116. doi: 10.3390/vaccines9101116.
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N Engl J Med. 2021 Mar 11;384(10):e34. doi: 10.1056/NEJMp2034438. Epub 2021 Jan 20.