Serafini G, Caramello S, Vaudetto S
Department of Hygiene and Community Medicine, University of Torino, Italy.
Eur J Epidemiol. 1995 Jun;11(3):349-50. doi: 10.1007/BF01719442.
This report is devoted to analyze the effect that compulsory vaccination has on the compliance of the population, compared with the results obtained by massive campaigns for optional vaccinations. The implementation of a specific software for the management of individual schedules helps to reach a substantial complete coverage of the individuals for the first ones, while improving but incomplete results regard the vaccines against pertussis and measles-mumps-rubella, optional in Italy. The optimization of data management at the local health unit level improves the quality and the satisfaction of the work performed by the personnel, but has a limited effect on the already nearly complete coverage for the compulsory immunizations. The mounting percentage of children immunized with optional vaccines can be explained both by the massive campaigns of information conducted in recent years and by the better tracking of individual immunization schedules.
本报告致力于分析强制接种疫苗对民众依从性的影响，并与大规模自愿接种疫苗活动所取得的结果进行比较。实施特定的个人接种计划管理软件有助于在首次接种时实现个体的大幅完全覆盖，而对于意大利为自愿接种的百日咳疫苗和麻疹-腮腺炎-风疹疫苗而言，接种结果虽有改善但仍不完整。地方卫生单位层面数据管理的优化提高了工作人员工作的质量和满意度，但对强制免疫已接近完全覆盖的情况影响有限。近年来开展的大规模宣传活动以及对个人免疫接种计划的更好跟踪，都可以解释自愿接种疫苗儿童比例不断上升的现象。
