Findley Sally E, Irigoyen Matilde, See Donna, Sanchez Martha, Chen Shaofu, Sternfels Pamela, Caesar Arturo
Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York City, New York 10032, USA.
Am J Public Health. 2003 Jul;93(7):1041-4. doi: 10.2105/ajph.93.7.1041.
In 1996 we launched a community-provider partnership to raise immunization coverage for children aged younger than 3 years in Northern Manhattan, New York City. The partnership was aimed at fostering provider knowledge and accountability, practice improvements, and community outreach. By 1999 the partnership included 26 practices and 20 community groups. Between 1996 and 1999, immunization coverage rates increased in Northern Manhattan 5 times faster than in New York City and 8 times faster than in the United States (respectively, 3.4% vs 0.4% [t = 6.05, p < 0.001] and vs 0.6% [t = 5.65, p < 0.001]). The coverage rate for Northern Manhattan stayed constant through 2000, although it declined during this period for the United States and New York City. We attribute the success at reducing the gap to the effectiveness of our partnership.
1996年，我们发起了一项社区与医疗机构的合作项目，以提高纽约市曼哈顿北部3岁以下儿童的免疫接种率。该合作旨在增强医疗机构的知识水平和责任感，改进医疗实践，并开展社区宣传活动。到1999年，该合作涵盖了26家医疗机构和20个社区团体。1996年至1999年间，曼哈顿北部的免疫接种率增长速度比纽约市快5倍，比美国快8倍（分别为3.4%对0.4% [t = 6.05，p < 0.001]以及对0.6% [t = 5.65，p < 0.001]）。曼哈顿北部的免疫接种率在2000年之前保持稳定，尽管在此期间美国和纽约市的接种率有所下降。我们将缩小差距的成功归因于我们合作的有效性。
