국가필수예방접종 전액지원사업 후 예방접종현황의 변화 및 이용자 만족도 : 서울시 강남구 사례를 중심으로

Abstract

Objectives : The purpose of this study was to secure basic data for healthcare policy to improve immunization services by analyzing the changes in vaccination status and satisfaction on the Full Coverage Project of the National Immunization Program(NIP) from nongovernmental medical institutions and users in Gangnam-gu,Seoul, Republic of Korea. Methods : We compared the cost reimbursement requests for the expansion of NIP coverage and the Full Coverage Program, respectively, in the NIP in Gangnam-gu during from March to December in 2009. We compared total immunization registration, individual immunization registration, the immunization proportion ratio of public health centers, and the immunization rate regarding the change of immunization status in 2008 vs. 2009and the second half of 2008 vs. the second half of 2009, and surveyed nongovernmental medical institutions and users regarding service satisfaction and improvement. Results : The volume of reimbursement requests increased three to five times compared to before the Full Coverage Project of the NIP was adopted. Immunization registration increased 56.4% in this area compared with that in 2008. A total of 61,356 cases supported financially by the NIP in 2009 increased to 109.8 % compared with 29,246 cases that were not supported in 2008. The greatest increase in the number of vaccinations was for the DTaP vaccine whose rate was 192.8%, and the lowest was for th BCG vaccine at 34.8%. The immunization proportion ratio decreased from 18.9% in 2008 to 15.0% in 2009. The NIP immunization rate increased in Gangnam-gu from 56.3% in 2008 increased to 78.1% in 2009. The satisfaction for this project was 76.1% at nongovernmental medical institutions and 82.3% for users. Conclusion : The Full Coverage project of the NIP positively influenced the increase in immunization rate and immunization registration and the reduction in the public health center immunization proportion ratio and improved the quality of public health services by redefinining the partnership between public and nongovernmental medical institutions.