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  1. Improving immunization rates in private pediatric practices through physician leadership.

    Article - En anglais


    To determine whether a physician-led quality improvement initiative can improve immunization rates in participating private practices.


    Surveys of private pediatric practices at 6-month intervals over an 18-month period.


    Ten private pediatric practices in Norfolk and Virginia Beach, Va.


    Children aged 9 to 30 months attending the private practices.


    Practice immunization rates were assessed and presented to practices on 4 occasions at 6-month intervals.

    A physician leader convened an immunization task force meeting following the first 3 assessments to review practice guidelines, examine data, and discuss practice changes.

    Main Outcome Measures 

    Practice immunization rates for patients at age 24 months, with 3-and 12-month immunization rates as secondary outcomes.


    The mean practice immunization rate at age 24 months increased significantly (P<. 05) from 50.9% at baseline to 69.7%. Rates also increased at age 3 months, from 75.5% to 88.9%, and at age 12 months, from 72.9% to 84.6%. The median age at administration of the fourth dose of diphtheria toxoid, tetanus toxoid, and pertussis vaccine decreased (P<. 05) from 17.6 to 16.8 months.

    Physicians also reported making additional changes, including improved record keeping and screening for immunizations at every visit. (...)

    Mots-clés Pascal : Pédiatrie, Vaccination, Pratique professionnelle, Evaluation professionnelle, Programme enseignement, Evaluation performance, Etats Unis, Amérique du Nord, Amérique, Homme

    Mots-clés Pascal anglais : Pediatrics, Vaccination, Professional practice, Professional evaluation, Educational program, Performance evaluation, United States, North America, America, Human

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

    Cote : 99-0312813

    Code Inist : 002B30A05. Création : 16/11/1999.