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  Vol. 4 No. 7, July 1995 TABLE OF CONTENTS
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Calculating a Clinic's Childhood Immunization Rate

Costs and Returns

Ronald W. Chapman, MD, MPH; Trevor W. Hacker, MD

Arch Fam Med. 1995;4(7):625-627.


Abstract

Objective
To analyze the cost of determining the pediatric immunization rate of a family practice clinic.

Design
Medical records audit and cost analysis.

Setting
A family medicine residency training clinic.

Patients/Participants
All clinic patients aged 2 months to 2 years, totaling 282 medical records.

Main Outcome Measures
Cost and hours needed to complete the project, pediatric immunization rate, and barriers to pediatric immunizations.

Results
The total project cost was $1320.25. Sixtynine percent of the study group was up-to-date on immunizations. Additional patients were found to have received immunizations from the local health department, which increased the immunization rate to 73.4%. The immunization rate declined significantly with age. The highest rate was 83% for children between the ages of 2 and 3 months. Immunization barriers included parental refusal, missed appointments, and inappropriate withholding of vaccinations. Only 13 records clearly documented why the child was behind on immunizations.

Conclusions
Calculating a family practice clinic's immunization rate can be easy and has modest costs. The return is an awareness of immunization barriers and the potential to increase the childhood immunization rate.



Author Affiliations

From the Shasta-Cascade Family Practice Residency, University of California, Davis.



THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Immunization Levels and Risk Factors for Low Immunization Coverage Among Private Practices
Kahane et al.
Pediatrics 2000;105:73e-73.
ABSTRACT | FULL TEXT  

Calculating a Clinic's Childhood Immunization Rate: Costs and Returns
Stevens et al.
Arch Fam Med 1996;5:325-326.
ABSTRACT  




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