Society of Teachers of Family Medicine Meeting. San Francisco, CA, USA, 1996/04/29.
Obiectlwei To determine if a clinic system to assess and vaccinate preschool-age children at every clinic visit can improve vaccination rates.
A nonequivalent control group design contrasting an intervention clinic with a comparison clinic.
Two urhan St Paul, Minn, clinics.
The intervention clinic is a family practice residency clinic, and the comparison clinic is a community health center clinic.
Primarily a low socioeconomic status white population.
A clinic-wide system to identify and vaccinate children at all clinic visits.
Appointment personnel, medical assistants, and physicians all had roles in the intervention protocol.
Percentage of children at the 2 clinics who were up-to-date for a primary vaccine series at age 24 months and also at the end of the study collection periods, preintervention and postintervention.
The intervention clinic improved the percentage of children up-to-date for a primary vaccine series at age 24 months from 42% to 56% (P=02), while the percentage at the comparison clinic did not change significantly (P=81).
Similarly, the intervention clinic improved the percentage of children up-to-date for age at the end of the study periods from 49% preintervention to 63% postintervention (P=02), while the percentage at the comparison clinic did not improve significantly (P=45).
The system was especially useful for children with few visits to the intervention clinic. (...)
Mots-clés Pascal : Vaccination, Chimioprophylaxie, Statut socioéconomique, Age préscolaire, Evaluation, Programme sanitaire, Promotion santé, Enfant, Homme
Mots-clés Pascal anglais : Vaccination, Chemoprophylaxis, Socioeconomic status, Preschool age, Evaluation, Sanitary program, Health promotion, Child, Human
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Cote : 98-0083798
Code Inist : 002B05A02. Création : 14/05/1998.