Assessing immunization registry data completeness in Bexar County, Texas
Assessing immunization registry data completeness in Bexar County, Texas
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DOI：
10.1016/s0749-3797(01)00427-5
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发表时间：
2002-04-01
影响因子：
5.5
通讯作者：
Lemke, B
中科院分区：
文献类型：
--
作者：
Boyd, TD;Linkins, RW;Lemke, B
背景：免疫信息系统（或登记系统）越来越多地被用于促进和维持高水平的疫苗接种覆盖率。然而，许多提供者认为，在作出免疫决定时，登记数据太不完整而无法依赖，这阻碍了对登记的接受。方法：为了评估登记的完整性，将圣安东尼奥免疫登记系统（SAIRS）的免疫覆盖水平与1998年参与儿童疫苗（VFC）计划的210家诊所中的77家（37%）、1999年的44家（21%）和2000年的10家（5%）诊所免疫记录的覆盖水平进行比较。结果：临床资料显示，4:3:1系列的平均免疫覆盖率为39.8%。根据登记数据，这些诊所的总体覆盖率为64.1%。这些诊所的登记覆盖水平小于或等于基于诊所记录的覆盖水平的65%。结论：基于SAIRS数据的免疫覆盖水平与基于临床记录的免疫覆盖水平相同或更高。这些数据表明圣安东尼奥的注册数据比诊所记录更完整，可能有助于改变提供者对注册数据完整性的看法。
Background: Immunization information systems (or registries) are increasingly being used to promote and sustain high levels of vaccination coverage. However, the perception among many providers that registry data are too incomplete to be relied on when making immunization decisions has impeded the acceptance of registries.Methods: To evaluate registry completeness, immunization coverage levels from the San Antonio Immunization Registry System (SAIRS) were compared with coverage levels derived from immunization records from 77 (37%) of the 210 clinics participating in the Vaccines for Children (VFC) program in 1998, 44 (21%) clinics in 1999, and 10 (5%) clinics in 2000.Results: Clinic data indicated an average immunization coverage level for the 4:3:1 series of 39.8%. The overall coverage level for these clinics based on registry data was 64.1%. Registry-coverage levels for these clinics were less than or equal to65% above the coverage levels based on clinic records.Conclusions: Immunization coverage levels based on SAIRS data were the same or higher than coverage levels based on clinic records. These data suggest that San Antonio's registry data were more complete than clinic records and may assist in changing provider perceptions regarding registry data completeness.