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The association between greater continuity of care and timely measles- mumps-rubella vaccination

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  • Christakis, D.A.
  • Mell, L.
  • Wright, J.A.
  • Davis, R.
  • Connell, F.A.

Abstract

Objectives. This study assessed whether greater continuity of care is associated with timely administration of measles-mumps-rubella (MMR) vaccination. Methods. We studied 11 233 patients continuously enrolled in Group Health Cooperative (GHC) from birth to 15 months. We used a preestablished index to quantify continuity of care based on the number of primary care providers in relation to the number of clinic visits. MMR vaccination status at 15 months was assessed with automated immunization data systems at GHC. Results. In a logistic regression model, both medium continuity (odds ratio [OR] = 1.20, 95% confidence interval [CI] = 1.08, 1.33) and high continuity (OR = 1.36, 95% CI = 1.22, 1.52) were associated with increased likelihood of being immunized by 15 months compared with patients in the lowest tercile of continuity of care. Conclusion. Greater continuity of care is associated with more timely immunization.

Suggested Citation

  • Christakis, D.A. & Mell, L. & Wright, J.A. & Davis, R. & Connell, F.A., 2000. "The association between greater continuity of care and timely measles- mumps-rubella vaccination," American Journal of Public Health, American Public Health Association, vol. 90(6), pages 962-965.
    • Handle: RePEc:aph:ajpbhl:2000:90:6:962-965_0
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    Cited by:

    1. Michael R. Kramer & Eric B. Schneider & Jennifer B. Kane & Claire Margerison-Zilko & Jessica Jones-Smith & Katherine King & Pamela Davis-Kean & Joseph G. Grzywacz, 2017. "Getting Under the Skin: Children’s Health Disparities as Embodiment of Social Class," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 36(5), pages 671-697, October.
    2. Seo Yoon Lee & Sung Youn Chun & Hyeki Park, 2022. "The Impact of COVID-19 Protocols on the Continuity of Care for Patients with Hypertension," IJERPH, MDPI, vol. 19(3), pages 1-12, February.
    3. Helen Lee & Sarah Shea Crowne & Melanie Estarziau & Keith Kranker & Charles Michalopoulos & Anne Warren & Tod Mijanovich & Jill H. Filene & Anne Duggan & Virginia Knox, "undated". "The Effects of Home Visiting on Prenatal Health, Birth Outcomes, and Health Care Use in the First Year of Life: Final Implementation and Impact Findings from the Mother and Infant Home Visiting Progra," Mathematica Policy Research Reports a9626a8d90bf4f01811d0c9d7, Mathematica Policy Research.

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