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

Dimitri A. Christakis, Loren Mell, Jeffrey A. Wright, Robert Davis, Frederick A. Connell

Research output: Contribution to journalArticle

76 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)962-965
Number of pages4
JournalAmerican Journal of Public Health
Volume90
Issue number6
DOIs
StatePublished - Jan 1 2000

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Mumps
Continuity of Patient Care
Rubella
Measles
Vaccination
Immunization
Logistic Models
Odds Ratio
Confidence Intervals
Health
Ambulatory Care
Information Systems
Primary Health Care
Parturition

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

The association between greater continuity of care and timely measles- mumps-rubella vaccination. / Christakis, Dimitri A.; Mell, Loren; Wright, Jeffrey A.; Davis, Robert; Connell, Frederick A.

In: American Journal of Public Health, Vol. 90, No. 6, 01.01.2000, p. 962-965.

Research output: Contribution to journalArticle

Christakis, Dimitri A. ; Mell, Loren ; Wright, Jeffrey A. ; Davis, Robert ; Connell, Frederick A. / The association between greater continuity of care and timely measles- mumps-rubella vaccination. In: American Journal of Public Health. 2000 ; Vol. 90, No. 6. pp. 962-965.
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