Canada's National Advisory Committee on Immunization (NACI): Evidence-based decision-making on vaccines and immunization

被引：27

作者：

Ismail, Shainoor J. ^{[1
,2
,3
]}

Langley, Joanne M. ^{[4
,5
,6
,7
]}

Harris, Tara M.

Warshawsky, Bryna F. ^{[8
]}

Desai, Shalini

FarhangMehr, Mahnaz

机构：

[1] Publ Hlth Agcy Canada, NACI Secretariat, Ottawa, ON K1V 1C1, Canada

[2] Univ Alberta, Fac Med & Dent, Edmonton, AB, Canada

[3] Univ Calgary, Fac Med, Calgary, AB, Canada

[4] Dalhousie Univ, Dept Pediat, Halifax, NS, Canada

[5] Dept Community Hlth & Epidemiol, Halifax, NS, Canada

[6] Dalhousie Univ, Halifax, NS, Canada

[7] IWK Hlth Ctr, Canadian Ctr Vaccinol, Halifax, NS, Canada

[8] Middlesex London Hlth Unit, London, ON, Canada

来源：

VACCINE | 2010年 / 28卷

关键词：

Immunization; National Technical Advisory Group; Evidence-based recommendations; Canada;

D O I：

10.1016/j.vaccine.2010.02.035

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

The National Advisory Committee on Immunization (NACI) provides medical, scientific, and public health advice on the use of vaccines in Canada. This article describes the structure and processes of NACI, as well as its approach to evidence-based decision-making. In a rapidly evolving and complex immunization environment, NACI has faced challenges in its endeavour to make thorough and timely evidence-based recommendations. Making population-level recommendations without formally considering the full spectrum of public health science (e.g. cost-effectiveness) presents difficulties in the implementation of NACI's recommendations. Although an improved and more transparent evidence-based NACI decision-making process is now in place, this is continuing to evolve with a current review of structures and processes underway to further improve effectiveness and efficiencies. Crown Copyright (C) 2010 Published by Elsevier Ltd. All rights reserved.

引用

页码：A58 / A63

页数：6

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