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An analysis of the immunization status of preschool children enrolled in a statewide Medicaid managed care program.
J Pediatr. 2001 Nov; 139(5):624-9.JPed

Abstract

OBJECTIVES

To measure immunization coverage rates for children enrolled in a statewide Medicaid managed care program and determine the impact of sociodemographic characteristics and the type of primary care provider site on immunization coverage.

STUDY DESIGN

A random sample of 2000 was chosen from children between the ages of 19 and 35 months who had been continuously enrolled in the Medicaid managed care program for 1 year. Sociodemographic data and a list of primary care providers for the study children were obtained from administrative databases. Immunization histories were determined by medical record review.

RESULTS

Vaccine-specific immunization rates for diphtheria-tetanus-pertussis, polio, Haemophilus influenzae type b, hepatitis B, and measles-mumps-rubella ranged from 87% to 94%, with an overall coverage rate of 75%. Overall immunization status varied by primary care provider site as follows: office-based, 72%; community health center, 75%; hospital-based clinic, 79%; and staff model health maintenance organization, 85% (chi(2) test, P =.008).

CONCLUSIONS

Immunization rates compare favorably with national rates for this low-income group. Sociodemographic characteristics were not important predictors of underimmunization, but rates did vary by the type of primary care provider site.

Authors+Show Affiliations

Department of Pediatrics, Brown University, Providence, Rhode Island, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11713437

Citation

Vivier, P M., et al. "An Analysis of the Immunization Status of Preschool Children Enrolled in a Statewide Medicaid Managed Care Program." The Journal of Pediatrics, vol. 139, no. 5, 2001, pp. 624-9.
Vivier PM, Alario AJ, Peter G, et al. An analysis of the immunization status of preschool children enrolled in a statewide Medicaid managed care program. J Pediatr. 2001;139(5):624-9.
Vivier, P. M., Alario, A. J., Peter, G., Leddy, T., Simon, P., & Mor, V. (2001). An analysis of the immunization status of preschool children enrolled in a statewide Medicaid managed care program. The Journal of Pediatrics, 139(5), 624-9.
Vivier PM, et al. An Analysis of the Immunization Status of Preschool Children Enrolled in a Statewide Medicaid Managed Care Program. J Pediatr. 2001;139(5):624-9. PubMed PMID: 11713437.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An analysis of the immunization status of preschool children enrolled in a statewide Medicaid managed care program. AU - Vivier,P M, AU - Alario,A J, AU - Peter,G, AU - Leddy,T, AU - Simon,P, AU - Mor,V, PY - 2001/11/20/pubmed PY - 2002/1/5/medline PY - 2001/11/20/entrez SP - 624 EP - 9 JF - The Journal of pediatrics JO - J Pediatr VL - 139 IS - 5 N2 - OBJECTIVES: To measure immunization coverage rates for children enrolled in a statewide Medicaid managed care program and determine the impact of sociodemographic characteristics and the type of primary care provider site on immunization coverage. STUDY DESIGN: A random sample of 2000 was chosen from children between the ages of 19 and 35 months who had been continuously enrolled in the Medicaid managed care program for 1 year. Sociodemographic data and a list of primary care providers for the study children were obtained from administrative databases. Immunization histories were determined by medical record review. RESULTS: Vaccine-specific immunization rates for diphtheria-tetanus-pertussis, polio, Haemophilus influenzae type b, hepatitis B, and measles-mumps-rubella ranged from 87% to 94%, with an overall coverage rate of 75%. Overall immunization status varied by primary care provider site as follows: office-based, 72%; community health center, 75%; hospital-based clinic, 79%; and staff model health maintenance organization, 85% (chi(2) test, P =.008). CONCLUSIONS: Immunization rates compare favorably with national rates for this low-income group. Sociodemographic characteristics were not important predictors of underimmunization, but rates did vary by the type of primary care provider site. SN - 0022-3476 UR - https://www.unboundmedicine.com/medline/citation/11713437/An_analysis_of_the_immunization_status_of_preschool_children_enrolled_in_a_statewide_Medicaid_managed_care_program_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3476(01)25665-0 DB - PRIME DP - Unbound Medicine ER -