PEDIATRICS Vol. 90 No. 6 December 1992, pp. 1007
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Lack of Money—Barrier to Immunization

RICHARD K. ZIMMERMAN MD1, G. SCOTT GIEBINK MD2, and HEIDI B. STREET MD3

1 Dept of Clinical Epidemiology and Preventive Medicine, Division of Family Medicine, University of Pittsburgh, Pittsburgh, PA 15261
2 Depts of Pediatrics and Otolaryngology, University of Minnesota
3 Dept of Family Practice, University of Minnesota

To the Editor.—

Schulte et al1 reported in 1991 that 73% of participating Dallas County, Texas, primary care physicians referred some children to immunization clinics in 1988. As a pilot project, we interviewed 31 of 37 (84%) eligible board-certified primary care physicians in urban/suburban areas across Minnesota. Participants rated the likelihood of referring children with various types of insurance coverage to public clinics for immunization. More physicians (52%) were likely to refer children from economically disadvantaged homes without insurance than either children who had Medicaid coverage (10%, P < .001) or private insurance (0%, P < .001).