General practice factors and MMR vaccine uptake: structure, process and demography.

摘要: Background Despite the fall in MMR uptake between 1998 and 2004, some general practices managed to sustain remarkably high coverage. Methods The aim of study was identify practice factors associated with vaccine population included 257 Cumbria Lancashire 2005. Practice level coverage data for 2002–04 were obtained from child health information systems eight Primary Care Trusts (PCTs) linked on structure, census indicators deprivation ethnicity at lower super output area a questionnaire survey nurses. Results Mean 86.4% range 59 98%. Twenty-eight per cent (74/257) achieved Department Health higher target payment 90%. not size, number practitioners (GPs) or There no correlation percentage non-white population. strong negative association barriers housing services (r ¼ 20.230, P , 0.001). On basis response rate 75.9%, having strategic approach clear objectives 90% above (odds ratio, 3.76, 1.26–12.04). immunization by GP, nurse visitor. Conclusions are easily identifiable characteristics high-uptake although is important. Practices rural areas should endeavour ensure easy access vaccination. High can be deprived areas. Further research needed system uptake.