Who needs an immunization in a pediatric subspecialty clinic?

Article Abstract:

It may be advisable for pediatric subspecialists to review the immunization status of the children seen in their clinics. Researchers surveyed the parents of 196 children aged 1 day to 16 years seen in a children's heart specialty clinic about their children's immunization status. Ninety percent of the parents believed their children's immunizations were current. However, only 53% of the parents with children younger than six years of age had either immunization records with them or could recall their child's immunization dates and types. Twenty-four percent of these documented children needed further immunization. Children who received their immunizations at the health department tended to be more current with their immunizations than those receiving them from a private doctor. Parents reported that cost and scattered immunization records would be negative factors in having their children complete their immunizations at the subspecialist's clinic.

Standards, Advisory Committee on Immunization Practices

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Methodological issues in determining rates of childhood immunization in office practice: a study from Pediatric Research in Office Settings (PROS)

Article Abstract:

The Consecutive method of determining immunization rates appears to be more accurate and easier to implement than the Chart method. The Consecutive method reviews medical records of patients seen consecutively whereas the Chart method reviews randomly selected charts. Researchers compared Consecutive and Chart methods with a combination of medical record review and follow-up parental interview in 15 primarily modest-sized private pediatric practices in 11 states. The average immunization rate was 80% by the combination method versus 82% by the Consecutive method and 72% by the Chart method. Practitioners reported that the Consecutive method was easier.

Demographic aspects

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Size and Age-Sex Distribution of Pediatric Practice: A Study From Pediatric Research in Office Settings

Article Abstract:

An age-sex register can identify which age groups most often visit a pediatrician. These registers are usually created by counting the number of patients by age and sex who visited the pediatrician within the past two years. In the early 1990s, the Pediatric Research in Office Settings asked 89 pediatrics practices in 31 states to submit this data. Analysis of the results indicates that each pediatrician has about 1500 patients. More than half were younger than 7 years old and less than a fourth were 12 or older. Before the age of 5, boys predominate, whereas girls predominate after the age of 15.

Statistics, Pediatrics, Patients

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