Increased immunization rates among inner-city, African-American children: a randomized trial of case management

Article Abstract:

Case management to increase childhood immunization rates in inner-city black families may be modestly effective and very expensive. Poor and minority children are less likely to be fully immunized. Researchers randomly assigned 419 infants and their families to receive home visits and support by case managers, or just printed information on vaccination (the control group). About 64% of children receiving case management completed first-year immunizations, compared to 50.6% of children in the control group. Case management cost $12,022 for each additional child who became fully-immunized.

Care and treatment, Evaluation, Medical case management, Immunization of children, Immunization, African American children

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Medicaid enrollment and health services access by Latino children in inner-city Los Angeles

Article Abstract:

The residency status of immigrant parents in Los Angeles does not seem to affect whether their children are covered by Medicaid but this could change since the passage of California Proposition 187. Prop 187 forbids the provision of health care services to the children of illegal immigrants. Researchers surveyed 817 Latino families in Los Angeles who had children 1 to 3 years old. Only 40% of the children had been covered by Medicaid since birth. However, children of immigrants who were US residents were no more likely to have continuous Medicaid coverage than children of non-residents.

Usage, Immigrants, Los Angeles, California, Children of immigrants, Medicaid, Insurance

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Reducing missed opportunities to vaccinate during child health visits: how effective are parent education and case management?

Article Abstract:

Case management and home visits do not seem to help appreciably lower the number of children's vaccinations missed at office visits when those vaccinations are due. Approximately 50% of the opportunities to use an office visit to provide vaccination are missed. Many mothers, particularly African Americans, believe that it is dangerous to give a child immunization when the child is ill. Home visits have been shown to help give parents correct information about safety and risks, although not in this study.

Statistics, Vaccination of children, Vaccination, Child health

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