Author: United States. General Accounting OfficePublisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 59
Book Description
Childhood Immunization
Author: United States. General Accounting OfficePublisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 59
Book Description
Childhood Immunization
Author: MOYNIHAN Daniel PPublisher: DIANE Publishing
ISBN: 9780788100871
Category :
Languages : en
Pages : 59
Book Description
Examines possible ways to reduce Medicaid costs for immunizing children. Reviews ways to improve preschool immunization rates to ensure that all children receive vaccinations. Discusses opportunities to improve childhood immunization rates at lower costs. Graphs.
Improving Childhood Immunization Rates
Author: Shannon Lea UdovicLocal Health Department Strategies for Improving Childhood Immunization Rates
Author: National Association of County Health Officials (U.S.)Publisher:
ISBN:
Category : Community health services
Languages : en
Pages : 43
Book Description
Improving Childhood Vaccination Coverage
Author: Natalia Vukshich OsterPublisher:
ISBN:
Category :
Languages : en
Pages : 107
Book Description
Vaccines are one of the most successful public health measures in modern medicine. Each year, thousands of illnesses, hospitalizations and deaths are directly prevented through immunization and indirectly through herd immunity. Paradoxically, vaccines have been so effective at preventing childhood diseases that a growing number of U.S. parents now question whether vaccination is necessary and whether perceived vaccine risks outweigh the benefits. In an era when few parents have firsthand experience with many of the diseases that vaccines prevent, new approaches are needed to maintain and increase vaccination coverage. Despite the rapid decline of vaccine preventable diseases (VPDs) in the U.S. these diseases are still common worldwide and will quickly resurface if vaccination rates are not maintained, as evidenced by recent outbreaks of pertussis and measles. Hepatitis B (HepB) is the first vaccine on the U.S. Childhood Immunization Schedule, which recommends seven shots (known as the 7-vaccine series) by 19 months of age. A HepB vaccine birth dose is recommended within 24 hours of birth for all medically stable infants born weighing at least 2000 grams and is the only vaccine recommended before the second month of age. We hypothesized that a missed HepB birth dose, accompanied by specific maternal and infant characteristics, could serve as a "red flag" to identify newborns who may be at high risk for missing subsequent childhood vaccines and could benefit from early, targeted interventions. Using a sample of infants born in Washington state between 2008 and 2013, this dissertation investigates predictors of the HepB birth dose (Aim 1), whether receipt of the HepB birth dose is associated with completing other recommended vaccines by 19 months (Aim 2) and whether timely HepB vaccine receipt, in conjunction with select maternal and infant characteristics, can be used to predict the risk of missing future childhood vaccinations (Aim 3). In Aim 1, we found that populations which are typically underserved (e.g., publicly insured, racial/ethnic minorities) were the most likely to receive the HepB birth dose, while infants who were non-Hispanic white, privately insured, and/or had an English-speaking mother were less likely to be vaccinated. Aim 2 showed that receiving the HepB birth dose was strongly associated with completing the 7-vaccine series by 19 months. In Aim 3, we developed and validated a risk prediction model which reliably identified newborns at risk for low completion of the 7-vaccine series by age 19 months. The results of our research suggest that the risk for low vaccination coverage is not evenly distributed in the population and that specific sociodemographic, clinical and birth hospitalization characteristics may indeed be associated with, and potentially predict, individual vaccine uptake. Further, receiving HepB during the birth hospitalization emerged as a key indicator of parental vaccine acceptance. The combined study findings serve as an important foundation for research focused on barriers to vaccine receipt in key subpopulations, and highlights areas for future interventional research in healthcare settings aimed at increasing childhood vaccination coverage.
Improving Childhood Immunization
Author: Childhood Immunization
Author: U S Government Accountability Office (GPublisher: BiblioGov
ISBN: 9781289078362
Category :
Languages : en
Pages : 68
Book Description
Pursuant to a congressional request, GAO examined options to reduce Medicaid costs for immunizing children. GAO found that: (1) nine states have established vaccine replacement programs in which health agencies purchase low-cost vaccines through the Centers for Disease Control and Prevention (CDC) contracts and supply them free to Medicaid providers; (2) ten states purchase low-cost vaccines from CDC and distribute them to all providers for Medicaid and non-Medicaid use; (3) Medicaid reimbursements for commercially purchased vaccines are considerably higher than CDC-contract prices, which cost states $12.7 million in 1990; (4) Medicaid continues to reimburse health departments for the costs of vaccines only after they have administered vaccines to children, therefore, states must purchase the initial supply of vaccines; (5) an alternative vaccine replacement program would have manufacturers contract with states to provide vaccines directly to physicians to mitigate start-up and distribution problems; (6) if states required the use of combined rather than single-antigen vaccines, further savings could be achieved; and (7) to improve immunization levels, immunization programs need to educate parents on the importance of immunizations for their children and tracking and following up on each child's immunization status.
Evidence-based Strategies for Improving Childhood Immunization Rates
Author: Global Health
Author: United States. General Accounting OfficePublisher:
ISBN:
Category : Children
Languages : en
Pages : 31
Book Description
Immunization in Developing Countries
Author: Publisher: World Bank Publications
ISBN:
Category :
Languages : en
Pages : 42
Book Description