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  1. Population-based study of the adequacy of well-child care services : A rural county's report card.

    Article, Communication - En anglais

    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.

    Main Outcome Measures 

    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

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

    Cote : 98-0404308

    Code Inist : 002B30A04D. Création : 25/01/1999.