Lakhani A D, Morris R W, Morgan M, Dale C, Vaile M S
United Medical School, London.
Arch Dis Child. 1987 Dec;62(12):1209-14. doi: 10.1136/adc.62.12.1209.
A three part investigation of the factors that might influence uptake of immunisation was carried out in Maidstone Health Authority; this included studies of the computer system and attitudes of parents and professionals. Several problems with immunisation scheduling, information transfer between general practitioners and clinics and the computer centre, and validity of computer information were identified. The attitudes of parents, relatives, and friends were generally favourable, although parents reported a lack of knowledge about the disease and vaccine and lack of advice from professionals. Perceived contraindications to immunisation, particularly a history of measles, were important reasons for non-uptake. Professionals' perceptions of contraindications, however, were at variance with Department of Health and Social Security guidelines and none of the recorded contraindications was valid. Calculations of potential uptake suggest that a 90% target uptake is feasible and recommendations are made for changes in services.
梅德斯通卫生局对可能影响免疫接种接受率的因素进行了三部分调查；这包括对计算机系统以及家长和专业人员态度的研究。确定了免疫接种计划、全科医生与诊所及计算机中心之间的信息传递以及计算机信息的有效性等几个问题。家长、亲属和朋友的态度总体上是积极的，不过家长表示对疾病和疫苗缺乏了解，且未从专业人员那里得到足够建议。认为免疫接种有禁忌，尤其是有麻疹病史，是未接种的重要原因。然而，专业人员对禁忌的看法与卫生和社会保障部的指导方针不一致，记录在案的禁忌均不成立。对潜在接种率的计算表明，90%的目标接种率是可行的，并针对服务改进提出了建议。
