Milteer R M, Jonna S
Department of Pediatrics, Howard University College of Medicine, Washington, DC, USA.
J Natl Med Assoc. 1996 Jul;88(7):433-6.
This prospective study reports the immunization status of uninsured or Medicaid-funded, high-risk urban preschool-aged children hospitalized at the District of Columbia General Hospital in Washington, DC, and the reasons for delays as identified by their parents or guardians. There were 602 consecutive admissions of preschool-aged children over a 29-month period. One hundred seventy-five questionnaires were adequately completed for analysis. Thirty-four percent of parents cited problems that have social implications as the main reasons for their children's lack of immunizations. It is important to note that missed opportunities by health-care providers also contributed to the immunization delay in this patient population. Based on these results, it is important that each patient encounter be used to ensure parent education so that each child is appropriately immunized.
这项前瞻性研究报告了在华盛顿特区哥伦比亚特区综合医院住院的未参保或由医疗补助计划资助的高危城市学龄前儿童的免疫接种状况，以及其父母或监护人指出的延迟接种原因。在29个月的时间里，共有602名学龄前儿童连续入院。175份问卷填写完整，可供分析。34%的家长指出具有社会影响的问题是其子女未接种疫苗的主要原因。需要注意的是，医护人员错过机会也导致了该患者群体的免疫接种延迟。基于这些结果，利用每次患者就诊机会确保对家长进行教育，使每个孩子都能得到适当免疫接种非常重要。
