The association between greater continuity of care and timely measles-mumps-rubella vaccination

Dimitri Christakis · Loren K. Mell · Jeffrey A. Wright · Robert Gorham Davis · Frederick A. Connell

100 citations0/0 files storedAmerican Journal of Public Health

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Vaccine Coverage and Hesitancy Child and Adolescent Health Primary Care and Health Outcomes

Abstract

OBJECTIVES: This study assessed whether greater continuity of care is associated with timely administration of measles-mumps-rubella (MMR) vaccination. METHODS: We studied 11,233 patients continuously enrolled in Group Health Cooperative (GHC) from birth to 15 months. We used a preestablished index to quantify continuity of care based on the number of primary care providers in relation to the number of clinic visits. MMR vaccination status at 15 months was assessed with automated immunization data systems at GHC. RESULTS: In a logistic regression model, both medium continuity (odds ratio [OR] = 1.20, 95% confidence interval [CI] = 1.08, 1.33) and high continuity (OR = 1.36, 95% CI = 1.22, 1.52) were associated with increased likelihood of being immunized by 15 months compared with patients in the lowest tercile of continuity of care. CONCLUSION: Greater continuity of care is associated with more timely immunization.

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References

1993Missed Opportunities for Childhood Vaccinations in Office Practices and the Effect on Vaccination Status 1993Accuracy of Immunization Histories Provided by Adults Accompanying Preschool Children to a Pediatric Emergency Department 1994Immunization Practices of Pediatricians and Family Physicians in the United States 1995What Mothers Say About Why Poor Children Fall Behind on Immunizations 1999Vaccines for Children Program, United States, 1997

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