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确定市中心城区婴儿的免疫接种率:全州登记数据与病历审查对比

Determining immunization rates for inner-city infants: statewide registry data vs medical record review.

作者信息

Stille C J, Christison-Lagay J

机构信息

University of Connecticut School of Medicine, Farmington, USA.

出版信息

Am J Public Health. 2000 Oct;90(10):1613-5. doi: 10.2105/ajph.90.10.1613.

DOI:10.2105/ajph.90.10.1613
PMID:11029997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1446364/
Abstract

OBJECTIVE

This study evaluated the benefit of consulting a statewide immunization registry for inner-city infants whose immunizations appeared, after single-site chart review, to have been delayed.

METHODS

We prospectively enrolled 315 newborns in 3 inner-city pediatric clinics. When the infants turned 7 months old, we obtained immunization data from clinic charts and the state registry.

RESULTS

On the basis of chart review, 147 infants (47%) were assessed to be delayed in their immunizations; of these, registry data revealed that 28 (19%) had received additional immunizations and 15 (10%) were actually up to date.

CONCLUSIONS

A statewide registry can capture immunizations from multiple sources, improving accurate determination of immunization rates in a mobile, inner-city population.

摘要

目的

本研究评估了为市中心区婴儿查询全州免疫登记系统的益处,这些婴儿经单站点图表审查后,其免疫接种似乎有所延迟。

方法

我们前瞻性地纳入了3家市中心区儿科诊所的315名新生儿。当婴儿满7个月时,我们从诊所图表和州登记系统中获取免疫接种数据。

结果

根据图表审查,147名婴儿(47%)被评估为免疫接种延迟;在这些婴儿中,登记系统数据显示,28名(19%)接受了额外的免疫接种,15名(10%)实际上免疫接种是及时的。

结论

全州登记系统可以从多个来源获取免疫接种信息,有助于更准确地确定流动的市中心区人群的免疫接种率。

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本文引用的文献

1
Immunization performance measurement in a changing immunization environment.不断变化的免疫接种环境中的免疫接种绩效评估
Pediatrics. 1999 Apr;103(4 Pt 2):889-97.
2
Estimating vaccination coverage using parental recall, vaccination cards, and medical records.利用家长回忆、疫苗接种卡和医疗记录估算疫苗接种覆盖率。
Public Health Rep. 1998 Nov-Dec;113(6):521-6.
3
Barriers to immunization and missed opportunities.免疫接种的障碍与错失的机会。
Pediatr Ann. 1998 Jun;27(6):366-74. doi: 10.3928/0090-4481-19980601-11.
4
Accuracy of immunization histories provided by adults accompanying preschool children to a pediatric emergency department.陪同学龄前儿童前往儿科急诊科的成人所提供免疫接种史的准确性。
JAMA. 1993 Nov 10;270(18):2190-4.