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The Impact of a Pediatric Medical Home on Immunization Coverage

Yale University, Department of Epidemiology and Public Health, New Haven, Connecticut

Denice C. L. Stewart, DDS, MHSA

University of Pennsylvania, School of Dental Medicine and Leonard Davis Institute of Health Economics, Philadelphia, PA

Steven A. Dowshen, MD

Alfred I. duPont Hospital for Children, Wilmington, Delaware

Solomon H. Katz, PhD

Alfred 1. duPont Hospital for Children, Wilmington, Delaware; University of Pennsylvania, W. M. Krogman Center for Research in Child Growth and Development and Leonard Davis Institute of Health Economics, Philadelphia, PA

This study assessed whether having access to provisions in the American Academy of Pediatrics "medical home" concept was associated with being age-appropriately immunized at 3, 12, and 24 months. Cross-sectional data on 495 Delaware children were collected fromJune 1994 to June 1995. Immunization status was determined with the Delaware immunization registry. The medical home was not significantly associated with immunization coverage. This study confirms that race, insurance status, maternal education, and family incomes are predictive of having poor immunization outcomes. Simply providing medical homes may not be an effective strategy to improve use of preventive services.

Clinical Pediatrics, Vol. 39, No. 2, 89-96 (2000)
DOI: 10.1177/000992280003900203


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