Do we practice what we teach about childhood immunization in New Jersey

摘要: BACKGROUND AND OBJECTIVES Although childhood immunization is a benchmark for preventive service delivery in family practices, no data have been reported on New Jersey practice residencies. This study assesses coverage among 2-year-olds nine residencies and evaluates knowledge barriers 10 residency programs. METHODS We performed retrospective review of records 2-year-olds, using the Centers Disease Control's Clinic Assessment Software Application, analyzed survey to completed by residents, nurses, faculty. RESULTS Among 726 children with four or more office visits, mean percent immunized combination diphtheria-tetanus-pertussis, three polio, one measles-mumps-rubella was 53% (range 31%-69%). The age-appropriate rate highest at 3 months (78%) lowest 16 (29%). 294 respondents, score 75% overall 82% faculty, 77% 71% residents. There moderate good correlation audit levels knowledge, 49% variation explained knowledge. Lack 47% as most important office-related barrier. CONCLUSIONS Immunization rates are below Healthy People 2000 goals. Low programs may improve increased an area future study. Research into removing immunization-related also needed.