University of Toronto, Social Sciences, 1265 Military Trail, Toronto, ON M1C 1A4.
Can Fam Physician. 2009 Nov;55(11):1104-1105.e4.
To examine childhood immunization levels relative to the number of family physicians, pediatricians, and public health nurses in Ontario.
Retrospective comparative analysis of publicly available data on immunization coverage levels and the relative number of family physicians, pediatricians, and public health nurses.
Ontario.
Seven-year-old children, family physicians, pediatricians, and public health nurses in Ontario.
The association between immunization coverage levels and the relative number of family physicians, pediatricians, and public health nurses.
We found correlations between immunization coverage levels and the relative number (ie, per 1000 Ontario residents) of family physicians (rho = 0.60) and pediatricians (rho = 0.70) and a lower correlation with the relative number of public health nurses (rho = 0.40), although none of these correlations was significant. A comparison of temporal trends illustrated that variation in the relative number of family physicians and pediatricians in Ontario was associated with similar variation in immunization coverage levels.
Increasing the number of family physicians and pediatricians might help to boost access to immunizations and perhaps other components of cost-saving childhood preventive care.
调查安大略省家庭医生、儿科医生和公共卫生护士人数与儿童免疫接种率的关系。
对可公开获得的免疫接种覆盖率数据以及家庭医生、儿科医生和公共卫生护士相对人数进行回顾性对比分析。
安大略省。
7 岁儿童、安大略省的家庭医生、儿科医生和公共卫生护士。
免疫接种覆盖率与家庭医生、儿科医生和公共卫生护士相对人数（即每千名安大略省居民）之间的关系。
我们发现免疫接种覆盖率与家庭医生（rho=0.60）和儿科医生（rho=0.70）的相对人数（即每千名安大略省居民）之间存在相关性，但均无统计学意义，与公共卫生护士的相对人数（rho=0.40）的相关性较低。对时间趋势的比较表明，安大略省家庭医生和儿科医生的相对数量的变化与免疫接种覆盖率的变化相似。
增加家庭医生和儿科医生的数量可能有助于增加免疫接种机会，或许也有助于增加其他节省成本的儿童预防保健内容。
