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The Association of Patient-Held Records and Completion of Immunizations

Health Services Research and Development Center, The Johns Hopkins Medical Institutions, Baltimore, Maryland

Sam Shapiro

Health Services Research and Development Center, The Johns Hopkins Medical Institutions, Baltimore, Maryland

Barbara H. Starfield

Health Services Research and Development Center, The Johns Hopkins Medical Institutions, Baltimore, Maryland

Patient-held records have been advocated as a means of increasing knowledge of and compliance with the processes of health care. The association between one type of patient-held record, the immunization record, and completion of the recommended immunizations for the first year is examined. Immunization completion rates varied by socioeconomic and medical care use variables; but, for all variables studied, completion rates were higher for those infants for whom immunization records were available than those without such records. An experimental assessment of the usefulness of patient-held immunization records as a means of improving compliance and meeting national goals for levels of immunization is suggested.

Clinical Pediatrics, Vol. 20, No. 4, 270-274 (1981)
DOI: 10.1177/000992288102000407


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