Tanguay F, Lamarche P A, Martineau G
CLSC Antoine-Rivard, St Fabien de Panet, Québec.
Can J Public Health. 1997 Nov-Dec;88(6):401-4. doi: 10.1007/BF03403915.
The objective of this study was to determine the effect of practice settings (CLSC and private office) and family characteristics (mother's age and education, children's rank in families) on children's immunization status and adherence to the immunization schedule. The study population was composed of 209 children born in 1991 and residing in the Regional Municipal County of Montmagny, Quebec. After adjusting for mother's education, those children vaccinated in a private office were at 13.3 times higher risk for incomplete immunization than those vaccinated in a CLSC. A similar but nonsignificant result was obtained regarding adherence to the immunization schedule. The factors likely to account for the results are the first contact and follow-up mechanisms put into place by the CLSC. The effectiveness of such mechanisms seems to be related to their population-based rather than client-oriented responsibility.
本研究的目的是确定医疗机构类型（社区卫生服务中心和私人诊所）以及家庭特征（母亲的年龄和教育程度、孩子在家庭中的排行）对儿童免疫状况和免疫接种计划依从性的影响。研究对象为1991年出生且居住在魁北克省蒙特马尼地区县市的209名儿童。在对母亲的教育程度进行调整后，在私人诊所接种疫苗的儿童未完成免疫接种的风险比在社区卫生服务中心接种疫苗的儿童高13.3倍。在免疫接种计划依从性方面也得到了类似但不显著的结果。可能导致这些结果的因素是社区卫生服务中心建立的首次接触和后续跟进机制。此类机制的有效性似乎与其基于人群而非以客户为导向的职责有关。
