Are immunizations an incentive for well-child visits ?
To assess the beliefs of parents and the visit patterns of their children to determine whether immunizations act as an incentive to use well-child care.
Design and Methods
Medical record audits provided data on immunizations and well-child visits.
Two questions from a parent interview were used to identify 4 groups of parents : (1) motivated and (2) unmotivated to keep a well-child care appointment regardless of whether immunizations are scheduled, (3) vaccine-motivated and (4) checkup-motivated (parents who were influenced negatively by the prospect of receiving vaccinations).
The percentage of children with a visit at each age window for well-child visits and the percentage up-to-date for their immunizations at given ages were compared across the 4 groups.
The 4 groups were also compared for other parental attitudes about immunizations and well-child visits, and on sociodemographic and access characteristics.
Most (73.3%) of the 502 parents surveyed were classified as motivated and 5% as unmotivated to keep a well-child care appointment regardless of whether an immunization was scheduled.
Only 18.3% were categorized as vaccine-motivated and 3.4% as checkup-motivated.
For all 4 groups, there was no discernible difference in attendance between immunization and non-immunization visits.
Attendance in the windows for well-child visits and percentage of children up-to-date on immunizations declined with increasing age. (...)
Mots-clés Pascal : Consultation, Nourrisson, Homme, Enfant, Normal, Surveillance, Motivation, Vaccination, Parent, Etats Unis, Amérique du Nord, Amérique, Questionnaire
Mots-clés Pascal anglais : Consultation, Infant, Human, Child, Normal, Surveillance, Motivation, Vaccination, Parent, United States, North America, America, Questionnaire
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0396201
Code Inist : 002B30A03B. Création : 12/09/1997.