The regional immunization registry as a public health tool for improving clinical practice and guiding immunization delivery policy
- PMID: 15249300
- PMCID: PMC1448374
- DOI: 10.2105/ajph.94.6.967
The regional immunization registry as a public health tool for improving clinical practice and guiding immunization delivery policy
Abstract
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.
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References
-
- National Vaccine-Advisory Committee, Subcommittee on Vaccination Registries. Developing a National Childhood Immunization System: Registries, Reminders and Recall. Washington, DC: US Department of Health and Human Services, National Vaccine Program Office; 1994.
-
- Szilagyi PG, Bordley C, Vann JC, et al. Effect of patient reminder/recall interventions on immunization rates. JAMA. 2000;284:1820–1827. - PubMed
-
- Linkins RW, Feikeme S. Immunization registries: the cornerstone of childhood immunization in the 21st century. Pediatr Ann. 1998;27:349–354. - PubMed
-
- Lieu TA, Capra AM, Makol J, Black SB, Shinefield HR for the Immunization Message Study Group. Effectiveness and cost-effectiveness of letters, automated telephone messages, or both for underimmunized children in a health maintenance organization. Pediatrics. 1998;101(4):e3. - PubMed
-
- Linkins RW, Dini EF, Watson G, Patriarca PA. A randomized trial of the effectiveness of computer-generated telephone messages in increasing immunization visits among preschool children. Arch Pediatr Adolesc Med. 1994;148:908–914. - PubMed
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