What mothers say about why poor children fall behind on immunizations: a summary of focus groups in North Carolina
Article Abstract:
Indigent mothers may experience many barriers to obtaining immunizations for their children. Fifty mothers whose children received care at county health departments participated in focus groups about immunizations. Participants reported lack of evening or weekend appointment times, difficulties with transportation, and problems with child care. Long waits disrupted work and were hard on the children. Some mothers thought that immunizations should not be given to a sick child, and some mothers reported being refused for this reason. Some mothers worried about adverse reactions; others did not know when immunizations should be given. Mothers recommended expanding clinic hours, holding drop-in visits for immunizations, and providing toys in the waiting room. They wanted help with transportation and strongly favored combining social services with health services in one site. They proposed educating women about immunizations prenatally and before hospital discharge and pairing new mothers with experienced mothers as mentors.
Publication Name: Archives of Pediatrics & Adolescent Medicine
Subject: Health
ISSN: 1072-4710
Year: 1995
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Cost-effectiveness Analysis of Lead Poisoning Screening Strategies Following the 1997 Guidelines of the Centers for Disease Control and Prevention
Article Abstract:
A set of cost-effective regional screening plans for 1- and 2-year-old children can be based on the local risk for lead exposure.Universal blood-lead level screening is recommended for high-risk areas. Targeted screening is recommended for low-risk areas. This was in response to the Centers for Disease Control and Prevention (CDC) which recently recommended that each state develop such a risk-based analysis. The analysis was conducted from the perspective of the health care system. The costs of screening, evaluation, and treatment were included. Indirect costs such as wages lost, transportation costs, and child-care costs were not included.
Publication Name: Archives of Pediatrics & Adolescent Medicine
Subject: Health
ISSN: 1072-4710
Year: 1998
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Current positions of graduates of internal medicine-pediatrics training programs
Article Abstract:
Most graduates of internal medicine-pediatrics training programs are working as generalists in private practice. Graduates of these programs are eligible for certification in internal medicine and pediatrics. Researchers surveyed program directors to determine the current positions of 708 internal medicine-pediatrics graduates from 1987 to 1993. Most graduates were in private practice, and 68% were acting as general practitioners treating children and adults. These programs may be an important source of primary care physicians.
Publication Name: Archives of Pediatrics & Adolescent Medicine
Subject: Health
ISSN: 1072-4710
Year: 1997
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