Insufficient Evidence to Determine Effectiveness of the Intervention*

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چکیده

In this chapter, we report on the effectiveness of interventions to increase the use of both universally recommended and targeted vaccines. As the name implies, universally recommended vaccines are those that should be administered to all people in a given age group, whereas targeted vaccines are those given to specific groups because of factors that make those groups particularly susceptible to a disease. Note that it is not actually the vaccines themselves that change, but rather their indicated use. For example, the influenza vaccine is universally recommended for all people over 50 years of age and is also targeted to people under 50 who have specific health problems. Interventions and policies to promote targeted vaccines are likely to be much more complex than similar interventions to promote universally recommended vaccines. For example, programs to improve coverage with universally recommended vaccines might need no more information about the target population than age, whereas programs to promote targeted vaccines might require information on age, risk factors, and vaccination history. Therefore, although the distinction between universally recommended and targeted vaccines is not clear, we have discussed these issues separately in Sections I and II, respectively. (The term vaccination coverage refers to the proportion of people who have received a particular vaccination.)

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تاریخ انتشار 2004