中文摘要 |
The Vaccine Injury Compensation Program (VICP) in Taiwan has been in operation for more than 30 years since 1988. However, healthcare professionals and first-line public health personnel have limited knowledge regarding definitions of adverse events, adverse reactions and side effects, as well as the application criteria and procedure.Adverse events following immunization are any untoward medical occurrence after immunization, regardless ofa causal relationship with the usage of the vaccine. The purpose of surveillance of these events is to evaluate vaccine safety continuously. On the other hand, the purposes of VICP are to provide timely compensation for vaccination-related injured individuals based on reviews by expert committee, to reduce pressure on healthcare professionals while performing immunization, and to allocate the responsibility of non-fault compensation to the government.Eligible claimantsof VICP are alleged victims suffered from injuries related to vaccination or maternal immunization, or legal heirs of the deceased victim. The scope of vaccination covers qualified vaccinesby testing or document review,withofficial permit or special approvalfor importation. Conditions such as self-paid vaccination, off-label use, injuries incurred by others’ negligence, having received compensation for the same basis and fact, and post-exposure prophylaxis vaccination do not influence the eligibility of VICP application. Situations of declinedcompensationinclude injuries unrelated to vaccination, common, mild and expectedadverse reactions, injuries due to conversion disorder or other psychologicalfactors, and injuries related to use of vaccinesnot for immunization purpose.Cooperation and implementation byhealthcare professional and first-line public health personnelare essential to fulfill the purposes of VICP. Sustaining communication and promotion by the central competent authorities are needed to maximize the effects of the program. |