PEDIATRICS Vol. 53 No. 5 May 1974, pp. 721-725
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Effectiveness of Aggressive Follow-up on Navajo Infant Health and Medical Care Use

Kenneth D. Rogers M.D.1, Rita Ernst 1, Ivan Shulman M.D.1, and Keith S. Reisinger 1

1 Department of Community Medicine, University of Pittsburgh School of Medicine, and the Fort Defiance Unit of the Indian Health Service

From among 273 live-born infants at Fort Defiance, Arizona, Indian Hospital between February 1970 and February 1971, half were followed by prevailing health care practices of the Indian Health Service; the other half by aggressive follow-up which included home visits, contact after missed appointments, and periodic record review to determine achievement of health care goals. At approximately 1 year of age, health status of almost all infants was determined by physical examination, Denver Development Test, and laboratory tests and by record review of illnesses experienced and health services received during the first year of life. Study and control infants differed at statistically significant levels in achievement of first-year health care goals (completed immunizations, tuberculin test, number of well child visits) but not in mortality, morbidity, and hospitalization rates; number of visits for health care; and findings on physical, developmental and laboratory examination. These findings were in agreement with those of similar studies and support the conclusion that medical care is only one, and likely not the major, determinant of infant health.

Submitted on October 10, 1873
Accepted on November 8, 1873




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