The vaccination services suffer from the lack of coordinated management between the various organizational levels. According to a monitoring carried out by Cittadinanzattiva, the vaccination registries established in each region do not reach the optimal level of computerization. And they are available for consultation and updating to all operators involved only in some regions; it does not happen instead in Abruzzo, Marche, Molise, Veneto, Umbria. Starting from these and other monitoring data – carried out in the period September / November 2021 – Active citizenshiptogether with a multistakeholder table and with the unconditional support of Gsk, Msd and Sanofi, today presented the Charter of the quality of vaccination services.
A document based on 6 fundamental principles to guarantee: uniform access on the territory; information, communication and transparency; training and updating; digitization and simplification; achievement of the objectives of prevention and vaccination coverage; continuous improvement of services and evaluation of the quality offered. “These principles identify the aspects of the vaccination process that primarily require organizational and technological interventions, to respond optimally to the needs of citizens and operators”, explains Cittadinanzattiva.
They also emerge from the monitoring discrepancies as regards the subjects appointed to carry out the administrations: in Tuscany, for example, pediatricians of free choice take care of all vaccinations for children, while in other regions (Marche, Umbria, Veneto) they only carry out the anti-flu. Regional agreements, for the involvement of general practitioners and pediatricians of free choice in vaccinations, are not present in all regions. Where signed, doctors do not always agree on which vaccinations are included.
Between the recommendations of the Charter, addressed to the various interlocutors at national, regional and company level, as well as to the citizens themselves, include: production and dissemination of information and awareness campaigns that motivate citizens to make informed choices based on validated scientific knowledge, also to combat the phenomenon of fake news; quick and easy access to all vaccination information also thanks to digital technologies; promotion of homogeneous and coherent training on the national territory, for all subjects with whom there are agreements (general practitioners, pediatricians of free choice, pharmacists, Rsa operators); implementation of the 2018 decree which provides for the establishment of the national vaccination register and regulates the regional ones, and which to date cannot ignore the integration with the electronic health record and the platforms relating to screening;
And again: creation or adaptation / enhancement of the electronic health record; publication, also for recommended vaccinations (Herpes zoster, pneumococcus and diphtheria-tetanus-pertussis booster for adults), of annual coverage data, as is already the case for the anti-flu; inclusion, in the definition of new Pdta or in the updating of those already present, of the vaccinations recommended for the specific disease targets; in the definition of individual welfare plans, inclusion of vaccination as a preventive activity; in planning the supplies of flu vaccines at the beginning of the year to ensure adequate quantities, defining the delivery times useful for the seasonal vaccination campaign; collaboration of local health companies, vaccination centers, general practitioners, pediatricians of free choice and pharmacists for: active call for the identified targets, sending the citizen information on his vaccination status, recall management, recovery of unvaccinated missed appointments.
“We hope – he declares Valeria Fava, responsible for coordinating the health policies of Cittadinanzattiva – that the recommendations included in the Charter of the quality of vaccination services, shared with the scientific community, the operators of prevention services, patient associations and institutions, are accepted and implemented at the various levels of the system, as well as in the next National Plan of vaccine prevention, for the drafting of which we have not been involved to date. Vaccination prevention must be a priority for our countryto be realized through effective and homogeneous strategies on the national territory, greater digitization and simplification of access and timely monitoring, starting with the extension of the indicators of the Lea monitoring grid to all scheduled vaccinations. In order to guarantee the delivery, homogeneity and full usability of the vaccinations included in the vaccination calendar, an active participation of general practitioners and pediatricians of free choice in vaccinations will also be necessary, providing for specific commitments in the context of regional supplementary agreements. “.
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