Monday, April 21
Grant Miller: Managerial Incentives in Public Service Delivery
Dombkowski, K.J., Paula M. Lantz, and G.L. Freed. 2004. "Role of Health Insurance and a Usual Source of Medical Care in Age-Appropriate Vaccination." American Journal of Public Health, 94(6): 960-966.
Objectives. We examined the associations of having health insurance and having a usual source of medical care with age-appropriate childhood vaccination. Methods. Simulations were conducted with multivariate logistic regression models and a nationally representative sample of children to assess the likelihood of age-appropriate vaccination. Results. Simulated provision of health insurance and a usual source of medical care produced substantial increases in the likelihood of doses being received age-appropriately. Increases in the likelihood of a child's being up to date were also observed, but these increases typically were smaller than for age-appropriate vaccination. Conclusions. Changes in childhood vaccination status should be assessed in age-appropriate terms, because measures of "up to date" status may not capture the effects of immunization interventions.
PMCID: PMC1448373. (Pub Med Central)