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Immunization milestones: a more comprehensive picture of age-appropriate vaccination.

Robison SG, Kurosky SK, Young CM, Gallia CA, Arbor SA - J. Biomed. Biotechnol. (2010)

Bottom Line: A challenge facing immunization registries is developing measures of childhood immunization coverage that contain more information for setting policy than present vaccine series up-to-date (UTD) rates.This study combined milestone analysis with provider encounter data to determine when children either do not receive indicated immunizations during medical encounters or fail to visit providers.Findings indicate that the majority of children went back and forth with regard to having complete age-appropriate immunizations over time.

View Article: PubMed Central - PubMed

Affiliation: Immunization Program, State of Oregon Department of Human Services, 800 NE Oregon St., Suite 370, Portland, OR 97232, USA.

ABSTRACT
A challenge facing immunization registries is developing measures of childhood immunization coverage that contain more information for setting policy than present vaccine series up-to-date (UTD) rates. This study combined milestone analysis with provider encounter data to determine when children either do not receive indicated immunizations during medical encounters or fail to visit providers. Milestone analysis measures immunization status at key times between birth and age 2, when recommended immunizations first become late. The immunization status of a large population of children in the Oregon ALERT immunization registry and in the Oregon Health Plan was tracked across milestone ages. Findings indicate that the majority of children went back and forth with regard to having complete age-appropriate immunizations over time. We also found that immunization UTD rates when used alone are biased towards relating non-UTD status to a lack of visits to providers, instead of to provider visits on which recommended immunizations are not given.

No MeSH data available.


Milestone Completeness and Provider Encounters for Children UTD for 4:3:1:3:3:1 Series by 24 to 35 Months.
© Copyright Policy - open-access
Related In: Results  -  Collection


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fig4: Milestone Completeness and Provider Encounters for Children UTD for 4:3:1:3:3:1 Series by 24 to 35 Months.

Mentions: As a final analysis, the results by milestone for encounters and completeness were stratified by children's status on a summary UTD measure for having all shots in a 4:3:1:3:3:1 series by age 24 to 35 months, and using a fixed date of assessment. Overall 77.8% of the study population were UTD by 24 to 35 months for the 4:3:1:3:3:1 series. The comparison across milestones for children who were UTD is presented in Figure 4.


Immunization milestones: a more comprehensive picture of age-appropriate vaccination.

Robison SG, Kurosky SK, Young CM, Gallia CA, Arbor SA - J. Biomed. Biotechnol. (2010)

Milestone Completeness and Provider Encounters for Children UTD for 4:3:1:3:3:1 Series by 24 to 35 Months.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2874993&req=5

fig4: Milestone Completeness and Provider Encounters for Children UTD for 4:3:1:3:3:1 Series by 24 to 35 Months.
Mentions: As a final analysis, the results by milestone for encounters and completeness were stratified by children's status on a summary UTD measure for having all shots in a 4:3:1:3:3:1 series by age 24 to 35 months, and using a fixed date of assessment. Overall 77.8% of the study population were UTD by 24 to 35 months for the 4:3:1:3:3:1 series. The comparison across milestones for children who were UTD is presented in Figure 4.

Bottom Line: A challenge facing immunization registries is developing measures of childhood immunization coverage that contain more information for setting policy than present vaccine series up-to-date (UTD) rates.This study combined milestone analysis with provider encounter data to determine when children either do not receive indicated immunizations during medical encounters or fail to visit providers.Findings indicate that the majority of children went back and forth with regard to having complete age-appropriate immunizations over time.

View Article: PubMed Central - PubMed

Affiliation: Immunization Program, State of Oregon Department of Human Services, 800 NE Oregon St., Suite 370, Portland, OR 97232, USA.

ABSTRACT
A challenge facing immunization registries is developing measures of childhood immunization coverage that contain more information for setting policy than present vaccine series up-to-date (UTD) rates. This study combined milestone analysis with provider encounter data to determine when children either do not receive indicated immunizations during medical encounters or fail to visit providers. Milestone analysis measures immunization status at key times between birth and age 2, when recommended immunizations first become late. The immunization status of a large population of children in the Oregon ALERT immunization registry and in the Oregon Health Plan was tracked across milestone ages. Findings indicate that the majority of children went back and forth with regard to having complete age-appropriate immunizations over time. We also found that immunization UTD rates when used alone are biased towards relating non-UTD status to a lack of visits to providers, instead of to provider visits on which recommended immunizations are not given.

No MeSH data available.