Article2004

Strategies to Improve Immunization Rates and Well-Child Care in a Disadvantaged Population

Simon J. Hambidge · Arthur J. Davidson · Stephanie L. Phibbs · Vijayalaxmi Chandramouli · Gary O. Zerbe · Charles W. LeBaron +1 more

50 citations0/0 files storedArchives of Pediatrics and Adolescent Medicine

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Vaccine Coverage and Hesitancy Child and Adolescent Health Pediatric Pain Management Techniques

Abstract

OBJECTIVE: To measure the effect of a multimodal intervention on well-child care visit (WCV) and immunization rates in an inner-city population. DESIGN: Cluster randomized controlled trial. SETTING AND PARTICIPANTS: One-year cohort of 2843 infants born at a hospital in an integrated inner-city health care system. INTERVENTIONS: Eleven clinics were randomly allocated to 1 of 3 study arms: WCV intervention (n = 3), immunization intervention (n = 4), and controls (n = 4). Interventions to improve immunization and WCV rates included both patient-based and clinic-based activities. MAIN OUTCOME MEASURES: Up-to-date status with childhood immunizations and WCVs by age 12 months (primary) and health care utilization and charges (secondary). RESULTS: Compared with the control arm, the WCV and immunization arms had 5% to 6% higher immunization rates and 7% to 8% higher WCV rates. In multivariate analyses that accounted for the clustered nature of the data, the number of immunizations received was greater in the WCV arm than in controls. However, neither the WCV nor the immunization intervention increased WCV or immunization up-to-date rates. The WCV arm had slightly higher health care charges. Neither intervention affected emergency, urgent care or inpatient utilization. CONCLUSIONS: This multimodal intervention produced a small increase in the number of childhood immunizations delivered. However, patient- and clinic-based methods did not lead to significant increases in WCV or immunization up-to-date rates after controlling for other factors. Methods found in some settings to increase immunization up-to-date rates may not be as effective in a population of inner-city socioeconomically disadvantaged children.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 50 citations exist upstream.

References

2000Effect of Patient Reminder/Recall Interventions on Immunization Rates 1993Risk Factors for Delayed Immunization in a Random Sample of 1163 Children From Oregon and Washington 2002Reducing Geographic, Racial, and Ethnic Disparities in Childhood Immunization Rates by Using Reminder/Recall Interventions in Urban Primary Care Practices 1995Factors Related to Immunization Status Among Inner-City Latino and African-American Preschoolers 1999Strategies to Sustain Success in Childhood Immunizations 1998Personal, Financial, and Structural Barriers to Immunization in Socioeconomically Disadvantaged Urban Children 1999Vaccine-Preventable Diseases: Improving Vaccination Coverage in Children, Adolescents, and Adults: A Report on Recommendations of the Task Force on Community Preventive Services 1997Impact of Measurement and Feedback on Vaccination Coverage in Public Clinics, 1988-1994

Cited by

2015An enriched medical home intervention using community health workers improves adherence to immunization schedules 2009Identifying Infants at Increased Risk for Late Initiation of Immunizations: Maternal and Provider Characteristics 2021The Contribution of Reminder-Recall to Vaccine Delivery Efforts: A Narrative Review

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.