The regional immunization registry as a public health tool for improving clinical practice and guiding immunization delivery policy.

The regional immunization registry as a public health tool for improving clinical practice and guiding immunization delivery policy.
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区域免疫登记作为改善临床实践和指导免疫接种政策的公共卫生工具。

DOI:
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发表时间:
2004
影响因子:
12.7
通讯作者:
S. Berman
S. Berman
中科院分区:
医学2区
文献类型:
--
作者:
A. Kempe;B. Beaty;John F. Steiner;Kellyn A. Pearson;N. Lowery;Matthew F. Daley;Lori A. Crane;S. Berman

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目标 我们评估了3个医疗保健提供部门的免疫记录分布以及区域免疫登记对“最新”率的影响。 方法 2个地区的免疫登记记录被归类为起源于私人诊所、社区卫生中心或公共卫生诊所。“最新”接种率是在我们依次添加了3个部门的免疫接种记录后计算的。 结果 从7个月到24个月,在多个部门接种疫苗的儿童比例随着年龄的增长而增加,在多个部门接种疫苗的儿童更有可能是最新的。24个月大的儿童的“最新”率相对增加了50%。 结论 区域免疫登记册是一个强有力的公共卫生工具,可提高记录在案的“最新”接种率,并使人们了解免疫接种的模式。
OBJECTIVES We assessed the distribution of immunization records among 3 health care delivery sectors and the impact of a regional immunization registry on "up to date" rates. METHODS Immunization registry records in 2 regions were categorized as having originated in private practices, community health centers, or public health clinics. "Up to date" rates were calculated after we sequentially added immunization records from the 3 sectors. RESULTS The percentage of children with immunizations documented in multiple sectors increased with age from 7 to 24 months, and children who were seen in multiple sectors were more likely to be up to date. There were relative increases in "up to date" rates of 50% for children aged 24 months. CONCLUSIONS The regional immunization registry is a powerful public health tool for increasing documented "up to date" rates and providing insights into patterns of immunization delivery.