Immunization performance measurement in a changing immunization environment.
The measurement of performance in the delivery of recommended vaccinations for children is used frequently as a marker for quality of care and as an outcome for studies of interventions to improve immunization coverage levels.
The critical element of immunization performance measurement is the determination of immunization status.
This methodologic review 1) discusses immunization status as a measure of quality of primary care for children, 2) describes immunization status measures used in immunization intervention studies, and 3) examines selected technical issues of immunization status measurement.
Methods and Topics
1) Description of the characteristics of immunization status measurements obtained by a systematic review of studies published between 1980 and 1997 on interventions to raise immunization coverage, and 2) illustration of technical considerations for immunization status measurement using one local database and one national database of immunization histories.
Technical issues for immunization status measurement include 1) the need to use documented immunization histories rather than parental recall to determine immunization status, 2) the need to link records across providers to obtain complete records, 3) the sensitivity of immunization status to missing immunization data, and 4) the potential of measures incorporating combinations of immunizations to underestimate the degree of vaccination in a population. (...)
Mots-clés Pascal : Vaccination, Immunoprophylaxie, Immunisation, Exploration immunologique, Santé, Efficacité traitement, Etats Unis, Amérique du Nord, Amérique, Enfant, Homme
Mots-clés Pascal anglais : Vaccination, Immunoprophylaxis, Immunization, Immunological investigation, Health, Treatment efficiency, United States, North America, America, Child, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0232711
Code Inist : 002B30A03B. Création : 16/11/1999.