Use of public immunization services after initiation of a universal vaccine purchase program.
To explore the reasons why North Carolina families continue to use public immunization services 2 years after implementation of a universal vaccine purchase program, a state program intended to eliminate financial barriers to immunization in private physicians'offices.
In-person interviews were conducted in 11 local public health departments in North Carolina.
Consecutive sample of 64 adults accompanying children aged 2 years or younger presenting for immunization services.
Main Outcome Measures
(1) Reasons for seeking immunization at the health department and (2) history of immunization from private physicians.
Two thirds of children obtained immunizations at the health department because of cost, including two thirds of children enrolled in Medicaid.
Only 33% of children received well-child care from a private physician ; for more than half of this group, the parents cited cost as the reason for using the health department, even though their physician was participating in the state universal purchase program.
Of the 8 parents who told their child's private physician that they could not afford immunizations, none was told that the vaccine administration fee would be waived. (...)
Mots-clés Pascal : Vaccination, Programme sanitaire, Aide économique, Evaluation performance, Etude comparative, Centre santé, Consultation, Médecin, Politique sanitaire, Etats Unis, Amérique du Nord, Amérique, Nourrisson, Homme, Enfant
Mots-clés Pascal anglais : Vaccination, Sanitary program, Economic assistance, Performance evaluation, Comparative study, Health center, Consultation, Physician, Health policy, United States, North America, America, Infant, Human, Child
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0344720
Code Inist : 002B30A03B. Création : 27/11/1998.