提高接种率策略

1、行之有效的干预措施行之有效的干预措施%最新百分比最新百分比Pediatrics 1999; 103:31-381809马萨诸塞州法律要求接种天花马萨诸塞州法律要求接种天花1905最高法院通过强制性预防接种的法律最高法院通过强制性预防接种的法律1922最高法院通过入学法律最高法院通过入学法律1970s-1980s 有入学法有入学法无入学法无入学法差值差值%197326.553.951%197433.155.440%* /100,000 18岁岁 J Infect Dis 1978; 137:847-853$45$155$1,182Zimmerman. JAMA 1997;278:996-1000

2、020406080100Source: Phil Smith et al. National Immunization Survey Insurance ModuleFor presentation at Pediatric Academic Societies meeting 2004累计: 92.1%020406080100% UTDPhysician EstimateMeasuredcMi s s our i Publ i c Cl i ni c sPe r c e nt Cov e r a ge ( 4 - 3 - 1 a t 2 4 mont hs )1 9 9 2 - 1 9 9

3、7密苏里州公立门诊覆盖率（4-3-1 ，24月龄）1992-1997Percent Coverage (4-3-1 at 24 months)Missouri Public Clinics1992113 clinicsRecords = 12,7120-910-1920-2930-3940-4950-5960-6970-7980-8990-100020406080100% Clinics335944密苏里州公立门诊Percent Coverage (4-3-1 at 24 months)Missouri Public Clinics1993117 clinicsRecords = 15,653

4、0-910-1920-2930-3940-4950-5960-6970-7980-8990-100020406080100% Clinics386651密苏里州公立门诊Percent Coverage (4-3-1 at 24 months)Missouri Public Clinics1994114 clinicsRecords = 13,4850-910-1920-2930-3940-4950-5960-6970-7980-8990-100020406080100% Clinics528068密苏里州公立门诊Percent Coverage (4-3-1 at 24 months)Miss

5、ouri Public Clinics1995114 clinicsRecords = 16,2130-910-1920-2930-3940-4950-5960-6970-7980-8990-100020406080100% Clinics718780密苏里州公立门诊Percent Coverage (4-3-1 at 24 months)Missouri Public Clinics1996114 clinicsRecords = 16,3680-910-1920-2930-3940-4950-5960-6970-7980-8990-100020406080100% Clinics839290密苏里州公立门诊Percent Coverage (4-3-1 at 24 months)Missouri Public Clinics1997114 clinicsRecords = 9,2730-910-1920-2930-3940-4950-5960-6970-7980-8990-100020406080100% Clinic