title: The impact of a pediatric medical home on immunization coverage.
abstract: This study assessed whether having access to provisions in the American Academy of Pediatrics "medical home" concept was associated with being age-appropriately immunized at 3, 12, and 24 months. Cross-sectional data on 495 Delaware children were collected from June 1994 to June 1995. Immunization status was determined with the Delaware immunization registry. The medical home was not significantly associated with immunization coverage. This study confirms that race, insurance status, maternal education, and family incomes are predictive of having poor immunization outcomes. Simply providing medical homes may not be an effective strategy to improve use of preventive services.
authors.affiliation: Yale University, Department of Epidemiology and Public Health, New Haven, Connecticut 06520-8034, USA.
authors.forename: A N
authors.initials: AN
authors.lastname: Ortega
authors.forename: D C
authors.initials: DC
authors.lastname: Stewart
authors.forename: S A
authors.initials: SA
authors.lastname: Dowshen
authors.forename: S H
authors.initials: SH
authors.lastname: Katz
mesh_terms: D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003691:Delaware / Q000453:epidemiology; D004522:Educational Status; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007115:Immunization Schedule; D007223:Infant; D008297:Male; D008423:Maternal Age; D011159:Population Surveillance; D012042:Registries; D012494:Sampling Studies; D012959:Socioeconomic Factors; D014611:Vaccination / Q000706:statistics & numerical data*