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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
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Improving Vaccine Assessment Pathways and Decision Making in the Polish Immunization Program.

Marcin Czech1,2, Ewa Augustynowicz3, Michał Byliniak4

  • 1Department of Pharmacoeconomics, Institute of Mother and Child, 01-211 Warsaw, Poland.

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Poland

Keywords:
Polanddecision makinghealth technology assessmentimmunization policiesmedicines policynational immunization technical advisory groupsvaccine assessment

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Area of Science:

  • Health policy
  • Vaccinology
  • Health economics

Background:

  • Poland's vaccine market access pathway is inefficient, leading to delayed adoption of new vaccines.
  • Existing processes lack a formalized framework, budget constraints, and strategic planning for immunization programs.

Purpose of the Study:

  • To evaluate the efficiency of Poland's vaccine market access pathway.
  • To identify bottlenecks and propose actionable recommendations for improvement.

Main Methods:

  • Multi-phase approach including desk research.
  • Expert panel discussions (n=13) and online questionnaires (n=12) assessed process elements.
  • Evaluation of vaccine assessment, national immunization technical advisory groups (NITAGs), health technology assessments, resource allocation, and decision-making.

Main Results:

  • Poland is a late adopter of vaccines due to budget constraints and lack of formal frameworks.
  • National Immunization Technical Advisory Groups (NITAGs) are crucial but under-resourced and stakeholder-dependent.
  • Health technology assessments are timely and transparent, but lack fiscal analyses; procurement lacks non-acquisition cost consideration and strategic planning.

Conclusions:

  • Establish a robust, well-resourced NITAG with enhanced decision-making capabilities.
  • Integrate fiscal analyses into vaccine assessments and develop a documented immunization program strategy.
  • Optimize Poland's vaccine market access for timely and efficient population-wide access.