영•유아 백신 접종의 특성 및 의료 접근성이 접종률에 미치는 영향

학위논문 (석사)-- 서울대학교 대학원 : 보건학과, 2017. 2. 이태진. ; Immunization is one of the worlds most effective and cost-effective tools against the treat of emerging diseases. It is a fundamental strategy to achieve other health priorities and provide a platform for public health care improvement with powerful impact on social and economic development. To secure high level of vaccination rate is the key factor for evaluation of the success. The infant vaccination rate in Korea is recognized relatively high but still the gap between type of vaccines and regions. Thereby, continuous efforts with strategy of stakeholders are required also in Korea. The representative program of government is NIP(National Immunization Program) which was rolled out in 2009 supporting partial fee for infant vaccination. As of the year, vaccination rate showed increasing trend. Based on previous studies result, the change could be come from various factors influencing to vaccination simultaneously. And the study analyzing regional level of vaccination is not enough in Korea. So the objective of this study was to analyze which factors impact to the regional level of infant vaccination rate and the size of the impact and propose policies which be worth consideration in the future vaccination strategy. The data analyzed was National vaccination rate report sample survey conducted in 2012, 2013 as a project of Korea CDC. Independent variables were comprised of two categories Vaccination specific characteristics and Health care accessibility. The all independent variables of vaccination specific characteristics category showed impact to the vaccination rate with statistical significance. Amongst the variables from health care accessibility, only the variable, number of public healthcare center per infants, influenced to vaccination rate. The factors which showed impact to the first and the last vaccination was mandatory vaccine or not and fee for vaccination. The age and the number of simultaneous shots influenced to first vaccination statistically ...