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Combination vaccine use and vaccination quality in a managed care population.
Am J Manag Care. 2007 Sep; 13(9):506-12.AJ

Abstract

OBJECTIVE

To evaluate the impact of a pentavalent combination vaccine on childhood immunization coverage rates and timeliness within a managed care organization.

STUDY DESIGN

Retrospective matched-cohort analysis of encounter data from administrative claims and a state immunization registry.

METHODS

Children were stratified into 2 demographically matched cohorts (combination and reference), based on receipt of the DTaP/HepB/IPV combination vaccine. Children were followed until 24 months of age, and coverage rates and on-time rates were assessed. Outcomes were measured for the HEDIS Combination 2 vaccine series (4 doses of diphtheria/tetanus/pertussis, 3 doses of polio, 1 dose of measles/mumps/rubella, 3 doses of Haemophilus influenzae type b, 3 doses of hepatitis B, and 1 dose of varicella) and each vaccine series individually.

RESULTS

Children in the combination cohort were significantly more likely to be fully vaccinated for the HEDIS Combination 2 series by 2 years of age and to be vaccinated within the recommended age ranges. In the combination cohort 86.9% (752/865) of patients were fully covered compared with only 74.1% (641/865) of the reference cohort (P <.001). In the combination cohort 45.2% (391/865) of patients received vaccinations on time versus 37.5% (324/865) of the reference cohort, P = .001.

CONCLUSIONS

Receipt of DTaP/HepB/IPV was associated with improved coverage and age-appropriate immunization in a managed care population.

Authors+Show Affiliations

Xcenda, Palm Harbor, FL 34685, USA. lhappe@xcenda.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

17803364

Citation

Happe, Laura E., et al. "Combination Vaccine Use and Vaccination Quality in a Managed Care Population." The American Journal of Managed Care, vol. 13, no. 9, 2007, pp. 506-12.
Happe LE, Lunacsek OE, Marshall GS, et al. Combination vaccine use and vaccination quality in a managed care population. Am J Manag Care. 2007;13(9):506-12.
Happe, L. E., Lunacsek, O. E., Marshall, G. S., Lewis, T., & Spencer, S. (2007). Combination vaccine use and vaccination quality in a managed care population. The American Journal of Managed Care, 13(9), 506-12.
Happe LE, et al. Combination Vaccine Use and Vaccination Quality in a Managed Care Population. Am J Manag Care. 2007;13(9):506-12. PubMed PMID: 17803364.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Combination vaccine use and vaccination quality in a managed care population. AU - Happe,Laura E, AU - Lunacsek,Orsolya E, AU - Marshall,Gary S, AU - Lewis,Tamara, AU - Spencer,Shannon, PY - 2007/9/7/pubmed PY - 2007/9/14/medline PY - 2007/9/7/entrez SP - 506 EP - 12 JF - The American journal of managed care JO - Am J Manag Care VL - 13 IS - 9 N2 - OBJECTIVE: To evaluate the impact of a pentavalent combination vaccine on childhood immunization coverage rates and timeliness within a managed care organization. STUDY DESIGN: Retrospective matched-cohort analysis of encounter data from administrative claims and a state immunization registry. METHODS: Children were stratified into 2 demographically matched cohorts (combination and reference), based on receipt of the DTaP/HepB/IPV combination vaccine. Children were followed until 24 months of age, and coverage rates and on-time rates were assessed. Outcomes were measured for the HEDIS Combination 2 vaccine series (4 doses of diphtheria/tetanus/pertussis, 3 doses of polio, 1 dose of measles/mumps/rubella, 3 doses of Haemophilus influenzae type b, 3 doses of hepatitis B, and 1 dose of varicella) and each vaccine series individually. RESULTS: Children in the combination cohort were significantly more likely to be fully vaccinated for the HEDIS Combination 2 series by 2 years of age and to be vaccinated within the recommended age ranges. In the combination cohort 86.9% (752/865) of patients were fully covered compared with only 74.1% (641/865) of the reference cohort (P <.001). In the combination cohort 45.2% (391/865) of patients received vaccinations on time versus 37.5% (324/865) of the reference cohort, P = .001. CONCLUSIONS: Receipt of DTaP/HepB/IPV was associated with improved coverage and age-appropriate immunization in a managed care population. SN - 1936-2692 UR - https://www.unboundmedicine.com/medline/citation/17803364/Combination_vaccine_use_and_vaccination_quality_in_a_managed_care_population_ DB - PRIME DP - Unbound Medicine ER -