Impact of vaccine financing on vaccinations delivered by health department clinics.
Saved in:
| Title: | Impact of vaccine financing on vaccinations delivered by health department clinics. |
|---|---|
| Authors: | Szilagyi PG (AUTHOR), Humiston SG (AUTHOR), Shone LP (AUTHOR), Barth R (AUTHOR), Kolasa MS (AUTHOR), Rodewald LE (AUTHOR) |
| Source: | American Journal of Public Health. May2000, Vol. 90 Issue 5, p739-745. 7p. |
| Subjects: | Vaccination of children, Clinics, Vaccines, Public finance, Immunization of children |
| Geographic Terms: | New York (State) |
| Abstract: | OBJECTIVES: This study measured the number of childhood vaccinations delivered at health department clinics (HDCs) before and after changes in vaccine financing in 1994, and it assessed the impact of changes in financing on HDC operations. METHODS: We measured the number of vaccination doses administered annually at all 57 HDCs in New York State between 1991 and 1996, before and after the financing changes. Interviews of HDC personnel assessed the impact of financing changes. A secondary study measured trends in Pennsylvania and California. RESULTS: HDC vaccinations for preschool children in New York State declined slightly prior to the financing changes (6%-8% between 1991 and 1993) but declined markedly thereafter (53%-56% between 1993 and 1996). According to nearly two thirds of New York State's HDCs, the primary cause for this decline was the vaccine-financing changes. HDC vaccinations for preschool children in Pennsylvania declined by 12% between 1991 and 1993 and by 56% between 1993 and 1997. HDC vaccinations for polio-containing vaccines in California declined by 31% between 1993 and 1997. CONCLUSIONS: Substantially fewer vaccinations have been administered at HDCs since changes in vaccine financing, thereby keeping preschool children in their primary care medical homes. [ABSTRACT FROM AUTHOR] |
| Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
|---|---|
| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 107030543 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Impact of vaccine financing on vaccinations delivered by health department clinics. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Szilagyi+PG%22">Szilagyi PG</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Humiston+SG%22">Humiston SG</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shone+LP%22">Shone LP</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Barth+R%22">Barth R</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kolasa+MS%22">Kolasa MS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rodewald+LE%22">Rodewald LE</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. May2000, Vol. 90 Issue 5, p739-745. 7p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Vaccination+of+children%22">Vaccination of children</searchLink><br /><searchLink fieldCode="DE" term="%22Clinics%22">Clinics</searchLink><br /><searchLink fieldCode="DE" term="%22Vaccines%22">Vaccines</searchLink><br /><searchLink fieldCode="DE" term="%22Public+finance%22">Public finance</searchLink><br /><searchLink fieldCode="DE" term="%22Immunization+of+children%22">Immunization of children</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22New+York+%28State%29%22">New York (State)</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: OBJECTIVES: This study measured the number of childhood vaccinations delivered at health department clinics (HDCs) before and after changes in vaccine financing in 1994, and it assessed the impact of changes in financing on HDC operations. METHODS: We measured the number of vaccination doses administered annually at all 57 HDCs in New York State between 1991 and 1996, before and after the financing changes. Interviews of HDC personnel assessed the impact of financing changes. A secondary study measured trends in Pennsylvania and California. RESULTS: HDC vaccinations for preschool children in New York State declined slightly prior to the financing changes (6%-8% between 1991 and 1993) but declined markedly thereafter (53%-56% between 1993 and 1996). According to nearly two thirds of New York State's HDCs, the primary cause for this decline was the vaccine-financing changes. HDC vaccinations for preschool children in Pennsylvania declined by 12% between 1991 and 1993 and by 56% between 1993 and 1997. HDC vaccinations for polio-containing vaccines in California declined by 31% between 1993 and 1997. CONCLUSIONS: Substantially fewer vaccinations have been administered at HDCs since changes in vaccine financing, thereby keeping preschool children in their primary care medical homes. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=107030543 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.2105/ajph.90.5.739 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 7 StartPage: 739 Subjects: – SubjectFull: Vaccination of children Type: general – SubjectFull: Clinics Type: general – SubjectFull: Vaccines Type: general – SubjectFull: Public finance Type: general – SubjectFull: Immunization of children Type: general – SubjectFull: New York (State) Type: general Titles: – TitleFull: Impact of vaccine financing on vaccinations delivered by health department clinics. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Szilagyi PG – PersonEntity: Name: NameFull: Humiston SG – PersonEntity: Name: NameFull: Shone LP – PersonEntity: Name: NameFull: Barth R – PersonEntity: Name: NameFull: Kolasa MS – PersonEntity: Name: NameFull: Rodewald LE IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: May2000 Type: published Y: 2000 Identifiers: – Type: issn-print Value: 00900036 Numbering: – Type: volume Value: 90 – Type: issue Value: 5 Titles: – TitleFull: American Journal of Public Health Type: main |
| ResultId | 1 |
