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Immunization Safety Net Needs Reinforcement.(Brief Article)
2001 MAY 9 - (NewsRx.com & NewsRx.net) --
Health department clinics play a large role in caring for vulnerable children, but could stand to improve certain aspects of their service, suggest the results of a new survey.
These clinics help ensure the immunization of vulnerable children, which "is essential to their health and the health of our nation as a whole - this immunization safety net must be preserved," says the study's lead author Jeanne M. Santoli, MD, MPH, of the National Immunization Program at the U.S. Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia.
Santoli and colleagues surveyed 166 local health department clinics located in large urban communities, smaller communities, or rural communities. Approximately 20% of these clinics provided comprehensive care, which means that most patients immunized in these clinics, the majority of whom were uninsured or on Medicaid, had to visit additional primary care sources for other preventive health services, the researchers found.
"This need for extra visits creates missed opportunities and is problematic for vulnerable children," notes Santoli.
The study results are published in the May 2001 issue of the American Journal of Preventive Medicine.
The researchers also found that some clinics weren't implementing certain recommended practices, including the use of patient reminders, semiannual assessments of immunization coverage, and extended clinic hours. This finding may reflect a 50% decrease in federal funding for immunization delivery infrastructure since 1996, according to the study.
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