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Related Experiment Videos

Increasing immunization: a Medicaid managed care model

K Browngoehl1, K Kennedy, K Krotki

  • 1Mercy Health Plan, Philadelphia, Pennsylvania, USA.

Pediatrics
|January 1, 1997
PubMed
Summary

This study shows that immunization outreach programs, especially those with home visits, increase vaccination rates in children. Comprehensive strategies significantly improve immunization completion by 35 months of age.

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Area of Science:

  • Public Health
  • Health Services Research
  • Pediatric Medicine

Background:

  • Childhood immunization rates are critical for public health.
  • Managed care organizations can play a role in improving vaccination coverage.
  • Outreach programs aim to overcome barriers to childhood immunizations.

Purpose of the Study:

  • To evaluate the effectiveness of a comprehensive immunization outreach program.
  • To determine the impact of specific program components, such as home visiting, on immunization rates.

Main Methods:

  • Retrospective cohort study of 2511 children aged 30-35 months in a Medicaid managed care organization.
  • Compared immunization rates for diphtheria-tetanus-pertussis, oral polio vaccine, measles-mumps-rubella, and Haemophilus influenza type b.

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  • Evaluated the outreach component by comparing treatment and non-treatment subgroups (N=1002).

    • Main Results:

    • The immunization program, including home visiting, was associated with higher completed immunization rates at 35 months.
    • Children receiving home visits showed significantly higher completed immunization rates.
    • A trend of increased age-appropriate immunizations by 24 months was observed but was not statistically significant.

    Conclusions:

    • Comprehensive immunization strategies, including tracking, education, incentives, and home visiting, correlate with increased immunization rates.
    • Home visiting was a key component associated with higher immunization completion by 35 months.
    • Home visiting outreach did not significantly impact age-appropriate immunizations by 24 months within this specific program.