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  1. Impact of measurement and feedback on vaccination coverage in public clinics, 1988-1994.

    Article - En anglais

    Objective

    - To investigate whether a reported rise in vaccination coverage in Georgia public clinics during the period 1988 through 1994 was artifactual or real and, if real, to determine the extent to which the rise could be associated with a program of measurement and feedback.

    Design

    - Examination of data from Georgia public clinics, doses-administered records, and National Health Interview Surveys.

    Setting/Participants

    - Children attending Georgia public clinics. intervention. - Measurement of vaccination coverage and feedback to providers.

    Main Outcome Measure

    - Vaccination coverage rates.

    Results

    - For the period 1988 through 1994,136 004 Georgia public clinic vaccination records for children 21 to 23 months of age were reviewed.

    Median series-completion rates at public clinics rose from 53% to 89%, while indexes of under-vaccination fell : missed opportunities for simultaneous vaccination (6% to 0%), lost contact for more than 12 months (14% to 1%), and first vaccination more than 1 month late (19% to 8%). According to the independent doses-administered database, the proportion of children starting the primary series very late =12 months old) fell from 14% to 6%, and the series-completion index rose from 64% to 83%, suggesting that improvements could not be wholly ascribed to better clinic record keeping. (...)

    Mots-clés Pascal : Vaccination, Couverture, Clinique, Etude multicentrique, Efficacité test, Méthode analytique, Campagne de masse, Evaluation, Prévention, Enfant, Homme, Rétroaction, Organisation santé

    Mots-clés Pascal anglais : Vaccination, Coverage, Clinic, Multicenter study, Test efficiency, Analytical method, Mass campaign, Evaluation, Prevention, Child, Human, Feedback regulation, Public health organization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0197215

    Code Inist : 002B30A01C. Création : 21/05/1997.