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The effect of different definitions of a patient on immunization assessment

M.E. O'Connor, B. Maddocks, C. Modie and H. Pierce

American Journal of Public Health, 2001, vol. 91, issue 8, 1273-1275

Abstract: Objectives. In this report, the authors compare immunization assessment using 2 definitions of a patient. Methods. Two Clinical Assessment Software Application (CASA) assessments were performed. The first sampled 200 two-year-olds seen at least once since birth. The second sampled 200 two-year-olds seen in the previous year. Children with incomplete immunizations in the first sample were contacted. Results. In the second sample, 72% of children had complete immunizations, compared with 46% in the first sample. In the first sample, 78% of children with incomplete immunizations had not been seen during the past year. Of 134 children in the first sample seen in the past year or successfully contacted 75% had complete immunizations. Conclusions. The CASA assessment's definition of a patient underestimates immunization rates.

Date: 2001
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