Annual meeting of the Pediatric Academic Societies. Washington, DC, USA, 1997/05/03.
To determine the adequacy of well-child care services using a population-based study.
The medical records of all county providers and the immunization records at the local health department were reviewed.
A county birth cohort, identified using electronic birth certificates, was compared with those who migrated into the area (hereafter, in-migrants).
All primary care sites (private, network, etc) in a rural county.
Two-year-old children born between May 31,1993, and May 30,1994.
Immunization rates and preventive screenings.
A total of 674 medical records were reviewed.
Of these, 377 (56%) belonged to a county birth cohort and 297 (44%) were in-migrants.
Medical records of 64% of the birth cohort were reviewed.
Among all 2-year-olds, 80% received 4 doses of diphtheria and tetanus toxoids and pertussis vaccine ; 89%, 3 doses of Haemophilus influenzae type b (Hib) ; 75%, 4 doses of Hib ; 77%, 3 doses of hepatitis B vaccine ; 85%, measles-mumps-rubella vaccine ; 85%, 3 doses of oral poliovirus vaccine ; 17%, varicella live virus vaccine (Varivax).
The 4 : 3 : 1 rate was 75% at age 2 years.
Sixty-eight percent had had 1 hematocrit, 74% had 1 lead screening test, and 43% had 2 lead screening tests.
A total of 64% had had 6 well-child visits and 30% had had 9. The mean number of weights and heights measured was 4.8 and 4.5, respectively, at age 1 year and 7.3 and 6.8, respectively, at age 2 years. (...)
Mots-clés Pascal : Organisation, Système santé, Milieu rural, Evaluation, Immunisation, Politique sanitaire, Prévention, Etude statistique, Enfant, Homme
Mots-clés Pascal anglais : Organization, Health system, Rural environment, Evaluation, Immunization, Health policy, Prevention, Statistical study, Child, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0404308
Code Inist : 002B30A04D. Création : 25/01/1999.