Bridging the Gap in Childhood Immunization Rates in Milwaukee

缩小密尔沃基儿童免疫接种率的差距

• 批准号: 7089490
• 负责人: Geoffrey Swain
• 金额: $ 30万
• 依托单位: MILWAUKEE HEALTH DEPARTMENT
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2008-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7089490
• 关键词: Bridging; Gap; Childhood; Immunization; Rates

DESCRIPTION (provided by applicant): Immunizations are among the most effective and cost-effective prevention interventions available. A missed opportunity (MO) for vaccination occurs when children who are eligible for one or more immunizations visit health care providers but are not vaccinated. MOs are almost always caused by underlying medical errors, and they are a major factor contributing to under-immunization and delay in age-appropriate immunization in children, leaving these children - and their household and community contacts - vulnerable to a variety of serious, preventable communicable diseases. Research has shown that 13 to 60% of the time spent overdue for some immunizations during the first two years of life is due to missed opportunities, with higher percentages for children living in poverty. Thus, MOs contribute not only to poor health outcomes but also to health disparities along socioeconomic and racial-cultural lines. Lower rates of immunization also serve as an indicator of inadequate receipt of other preventative health care services. The purpose of this proposal is to intervene with providers, parents, schools and daycares to improve immunization completion rates by decreasing errors associated with missed opportunities for vaccination. The specific aims of this project are: 1. To implement provider education and process refinement interventions and evaluate their effectiveness in decreasing immunization errors including missed opportunities; 2. To implement parental education and case management interventions and evaluate their effectiveness in decreasing missed opportunities and delays in immunization and increasing healthcare utilization. 3. To implement a set of community intervention activities to reduce immunization disparities and increase immunization rates; 4. To develop sustainable and transferable interventions for reducing racial disparities in immunizations

说明(申请人提供)：免疫接种是现有的最有效和最具成本效益的预防干预措施之一。当有资格接受一次或多次免疫接种的儿童到卫生保健提供者那里但没有接种疫苗时，就会错过接种疫苗的机会。MOS几乎总是由潜在的医疗差错引起，它们是造成儿童免疫不足和适龄免疫延迟的主要因素，使这些儿童及其家庭和社区接触者容易感染各种严重的、可预防的传染病。研究表明，在生命的头两年里，有13%到60%的时间是由于错过了机会而逾期接种的，生活在贫困中的儿童所占比例更高。因此，微生物不仅造成了不良的健康结果，而且还造成了社会经济和种族文化方面的健康差距。免疫接种率较低也是其他预防性保健服务收受不足的一个指标。这项提议的目的是与提供者、家长、学校和托儿所进行干预，通过减少与错过疫苗接种机会有关的错误来提高免疫完成率。该项目的具体目标是：1.实施提供者教育和流程改进干预措施，并评估其在减少免疫错误(包括错过的机会)方面的有效性；2.实施家长教育和病例管理干预措施，并评估其在减少免疫机会错失和延迟接种以及提高医疗保健利用率方面的有效性。3.实施一套社区干预活动，以减少免疫差距和提高接种率；4.制定可持续和可转让的干预措施，以减少免疫接种中的种族差距