PEDIATRICS Vol. 107 No. 1 January 2001, pp. 91-96
The Impact of Record Scattering on the Measurement of Immunization Coverage
Received Sep 2, 1999; accepted Mar 31, 2000.
From the * National Immunization Program and the Epidemiology
Program Office, Centers for Disease Control and Prevention, Atlanta,
Georgia.
Background. Lack of a consolidated immunization record may lead to problems with determining individual immunization needs at office visits as well as measuring vaccination coverage levels of a clinician's practice or a community's population.
Objectives. For children with multiple immunization providers, evaluate the difference in coverage levels using data from all responding immunization providers compared with: 1) the most recent immunization provider's records, 2) the first immunization provider's records, and 3) a randomly selected immunization provider's records. Identify characteristics of the most recent provider that may be associated with reporting incomplete immunization histories.
Methods. Data from the 1995 National Immunization Provider Record Check Study (NIPRCS) were used for analysis. The NIPRCS is a provider validation study of the household reported immunization histories of all children 19 to 35 months of age included in the National Health Interview Survey (NHIS). Providers identified by the child's parent during the NHIS interview are mailed a 2-page survey to report all immunizations (type and date) the child received, regardless of the provider who administered the shots, and child's first and most recent visit dates to the practice.
Results. Of the 1352 children with provider data, 304 (22%) had received immunizations from more than one provider. Compared with information from all providers and depending on the vaccine, the most recent provider records underestimated coverage by 9.6 to 13.4 percentage points; the initial provider records underestimated coverage by 15.6 to 34.6 percentage points; and the randomly selected provider records underestimated coverage by 10.0 to 20.7 percentage points. Public facilities and having an immunization summary sheet in the patient's chart were associated with having complete records.
Conclusion. Scattered immunization records significantly compromise the ability of clinicians to determine the immunization status of their patients who received immunizations at other sites of health care. Routinely assessing immunization coverage levels at the practice level, implementing a recall system, and developing community-wide immunization registries are some strategies to reduce the problem of scattered immunization records.immunization, assessment, provider validation, record scattering. .
CiteULike 
Connotea 
Del.icio.us 
Digg 
Facebook 
Reddit 
Technorati 
Twitter What's this?
This article has been cited by other articles:
|
|
 |
|
  S. E. Findley, M. Sanchez, M. Mejia, R. Ferreira, O. Pena, S. Matos, M. S. Stockwell, and M. Irigoyen REACH 2010: New York City: Effective Strategies for Integrating Immunization Promotion Into Community Programs Health Promot Pract, April 1, 2009; 10(2_suppl): 128S - 137S. [Abstract] [PDF]
|
|
|
|
 |
|
 K. S. O'Connor and M. D. Bramlett Vaccination Coverage by Special Health Care Needs Status in Young Children Pediatrics, April 1, 2008; 121(4): e768 - e774. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Vandermeulen, M. Roelants, H. Theeten, A.-M. Depoorter, P. Van Damme, and K. Hoppenbrouwers Vaccination Coverage in 14-Year-Old Adolescents: Documentation, Timeliness, and Sociodemographic Determinants Pediatrics, March 1, 2008; 121(3): e428 - e434. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. E. Findley, M. Irigoyen, M. Sanchez, L. Guzman, M. Mejia, M. Sajous, D. A. Levine, S. Chen, and F. Chimkin Community-Based Strategies to Reduce Childhood Immunization Disparities Health Promot Pract, July 1, 2006; 7(3_suppl): 191S - 200S. [Abstract] [PDF]
|
|
|
|
 |
|
 G. H. Dayan, K. M. Shaw, A. L. Baughman, L. C. Orellana, R. Forlenza, A. Ellis, J. Chaui, S. Kaplan, and P. Strebel Assessment of Delay in Age-appropriate Vaccination Using Survival Analysis Am. J. Epidemiol., March 15, 2006; 163(6): 561 - 570. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. K. Mell, D. S. Ogren, R. L. Davis, J. P. Mullooly, S. B. Black, H. R. Shinefield, K. M. Zangwill, J. I. Ward, S. M. Marcy, R. T. Chen, et al. Compliance With National Immunization Guidelines for Children Younger Than 2 Years, 1996-1999 Pediatrics, February 1, 2005; 115(2): 461 - 467. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. J. Dombkowski, P. M. Lantz, and G. L. Freed Role of Health Insurance and a Usual Source of Medical Care in Age-Appropriate Vaccination Am J Public Health, June 1, 2004; 94(6): 960 - 966. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. E. Glazner, B. L. Beaty, K. A. Pearson, and S. Berman The Cost of Giving Childhood Vaccinations: Differences Among Provider Types Pediatrics, June 1, 2004; 113(6): 1582 - 1587. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Tung, L. C. Duffy, J. O. Gyamfi, F. Wojtaszczyk, A. Dozier, T. Tempfer, A. Clark, T. Putnam, and R. Bonafede Improvements in Immunization Compliance Using a Computerized Tracking System for Inner City Clinics Clinical Pediatrics, September 1, 2003; 42(7): 603 - 611. [Abstract] [PDF]
|
|
|
|
|
|
P. G. Szilagyi, S. Schaffer, L. Shone, R. Barth, S. G. Humiston, M. Sandler, and L. E. Rodewald Reducing Geographic, Racial, and Ethnic Disparities in Childhood Immunization Rates by Using Reminder/Recall Interventions in Urban Primary Care Practices Pediatrics, November 1, 2002; 110(5): e58 - 58. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Scattered Immunization Records Are Inaccurate Journal Watch (General), January 23, 2001; 2001(123): 6 - 6. [Full Text]
|
|
