Payne T, Kanvik S, Seward R, Beeman D, Salazar A, Miller Z, Immanuel V, Thompson R S
Group Health Cooperative of Puget Sound, Seattle, Washington.
Am J Prev Med. 1993 Mar-Apr;9(2):96-100.
Practitioners seeing individual patients and those charged with improving immunization practices in that population need accurate information on the epidemiology of immunizations within the population. To meet this need, we have developed a computer-based record of data required by the National Childhood Vaccine Injury Act of 1986 for all immunizations given to 350,000 enrollees in a large health maintenance organization. In the first eight months of operation, 102,271 immunizations representing 11 separate antigens given to 65,676 enrollees were entered into the database. Comparison of immunizations given and recorded in the medical record with the database shows that the system has high sensitivity, specificity, and positive predictive value, but a relatively low negative predictive value. The database is being used for analysis of current immunization practices for Haemophilus influenzae b vaccine and for research on adverse outcomes of childhood immunizations.
诊治个体患者的从业者以及负责改善该人群免疫接种情况的人员需要有关该人群免疫接种流行病学的准确信息。为满足这一需求，我们基于计算机开发了一份记录，其中包含1986年《国家儿童疫苗伤害法案》要求的、针对一家大型健康维护组织中35万名参保人员所接种的所有疫苗的数据。在运营的前八个月，数据库录入了针对65,676名参保人员接种的、代表11种不同抗原的102,271剂疫苗。将病历中记录的接种情况与数据库中的记录进行比较后发现，该系统具有较高的灵敏度、特异性和阳性预测值，但阴性预测值相对较低。该数据库正用于分析b型流感嗜血杆菌疫苗的当前免疫接种情况以及儿童免疫接种不良后果的研究。
