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Titolo:
Effectiveness of a practice-based intervention to increase vaccination rates and reduce missed opportunities
Autore:
Minkovitz, CS; Belote, AD; Higman, SM; Serwint, JR; Weiner, JP;
Indirizzi:
Johns Hopkins Univ, Sch Hyg & Publ Hlth, Dept Populat & Family Hlth Sci, Baltimore, MD 21205 USA Johns Hopkins Univ Baltimore MD USA 21205 th Sci, Baltimore, MD 21205 USA Johns Hopkins Univ, Sch Hyg & Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD 21205 USA Johns Hopkins Univ Baltimore MD USA 21205 gement, Baltimore, MD 21205 USA Johns Hopkins Univ, Childrens Ctr, Baltimore, MD USA Johns Hopkins Univ Baltimore MD USA iv, Childrens Ctr, Baltimore, MD USA
Titolo Testata:
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE
fascicolo: 3, volume: 155, anno: 2001,
pagine: 382 - 386
SICI:
1072-4710(200103)155:3<382:EOAPIT>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
IMMUNIZATION COVERAGE; SOCIOECONOMIC-STATUS; PREVENTIVE CARE; CASE-MANAGEMENT; INNER-CITY; CHILDREN; IMPLEMENTATION; BALTIMORE; FEEDBACK; SYSTEM;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Minkovitz, CS Johns Hopkins Univ, Sch Hyg & Publ Hlth, Dept Populat & Family Hlth Sci, 624 N Broadway, Baltimore, MD 21205 USA Johns Hopkins Univ 624N Broadway Baltimore MD USA 21205 USA
Citazione:
C.S. Minkovitz et al., "Effectiveness of a practice-based intervention to increase vaccination rates and reduce missed opportunities", ARCH PED AD, 155(3), 2001, pp. 382-386

Abstract

Background: Although provider feedback and recall/ reminder systems have been shown to increase vaccination rates for children, little is known aboutthe effectiveness of less intensive interventions. Objective: To determine whether provider prompting at acute care visits inan urban hospital-based outpatient clinic can increase vaccination rates and decrease missed opportunities. Design and Methods: Study participants, 3 years or younger, were identified from a managed care organization as receiving primary care at the clinic. Eligibility criteria included 1 or more visits to the clinic without regard to continuity of enrollment. Patients' vaccination records were generatedat nursing triage and attached to the encounter sheet. Vaccination and visit data were abstracted from medical records, and comparisons were made between baseline (n=521) and postintervention (n=642) groups for up-to-date vaccination rates, missed opportunity rates, and mean numbers of visits. Results: Up-to-date rates at the age of 24 months for 4 diphtheria and tetanus toxoids and pertussis, 3 polio, 1 measles-mumps-rubella, 3 hepatitis B, and 3 Haemophilus influenzae type b vaccines changed from 70% to 78% (P=.07). Up-to-date rates increased significantly to 87% among the subset of children continuously enrolled in the managed care organization and the practice (P<.01). Overall, mean numbers of visits were similar. Missed opportunity rates among children not up-to-date for 4 diphtheria and tetanus toxoidsand pertussis, 3 polio, 1 measles-mumps-rubella, 3 hepatitis B, and 3 Haemophilus influenzae type b vaccines at the age of 24 months declined from 65% to 45% (P=.04). Similar trends were noted at rite age of 10 months. Conclusions: In the absence of increased funding, minor changes in standard operating procedures may improve vaccination delivery. Further improvements may require efforts to ensure continuity of provider and plan assignment.

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Documento generato il 10/04/20 alle ore 02:43:27