A preschool immunization project to enhance immunization levels, the public-private relationship, and continuity of care.

作者: Stephanie W. Smith , Patricia Connery , Kay Knudsen , Karen L. Scott , Mary Pat Frintner

DOI: 10.1023/A:1018782219897

关键词: Private sectorAuditNursingBaseline (configuration management)CohortFamily medicineSample (statistics)MedicineImmunization (finance)IncentiveIntervention (counseling)

摘要: This study was conducted to determine whether implementing a program aimed at providing variety of incentives physicians who provide immunizations preschool-aged children would help improve immunization rates and reduce fragmented care for patients. Twenty from 14 private practices that low income families in suburban Cook County, Illinois participated the project. A randomly selected subset patient case records physicians' offices were audited after implementation project status nature services provided. These 310 under three years age treated between 1991-1994 (the intervention sample) compared charts 1988-1990 cohort (baseline sample). The groups did not differ on race or gender; however, significantly more 1988 through 1990 3 insured privately when 1991 1994 cohort. Seventy percent (218) sample up date 45% (141) baseline records, reflecting statistically significant difference (p < .00001). showed well child visits where given follow sample. Physicians completed surveys before They questioned about their knowledge regarding as opinion specific components. All viewed an effective means children. demonstrates potential enhancing levels continuity among It also highlights workable partnership public sectors.

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