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• W2027252315 abstract "<h3>Objectives</h3> To assess the frequency and characteristics of missed opportunities for influenza immunization in children with chronic medical conditions and, among unimmunized children in that group, to explore parent-reported reasons for not vaccinating their child. <h3>Design</h3> Prospective cohort study. Data were obtained from billing and immunization registry databases and telephone interviews of parents. <h3>Setting</h3> Four pediatric practices in metropolitan Denver, Colo, during the 2002-2003 influenza season. <h3>Participants</h3> Children aged 6 to 72 months with 1 or more chronic medical conditions. <h3>Main Outcome Measure</h3> A missed opportunity for influenza immunization, defined as having a billed encounter, being eligible for immunization, and not receiving vaccine. Subjects with asthma were analyzed separately from those with other conditions. <h3>Results</h3> We identified 926 children with chronic conditions: 820 (89%) with asthma only and 106 (11%) with other conditions. Missed opportunities occurred at 78% of all vaccine-eligible visits for children with asthma and 74% of all visits for children with other conditions. For children with asthma, 92% of vaccine-eligible visits in December and January resulted in a missed opportunity vs 69% in October and November; for children with other conditions, corresponding frequencies were 86% vs 68%, respectively. For children with asthma, 86% of non–well-child visits resulted in a missed opportunity, compared with 62% of well-child visits; similar frequencies were seen among children with other chronic conditions. Parents of unimmunized children reported lack of a physician recommendation and low perceived susceptibility to influenza as the primary reasons for not immunizing their child. <h3>Conclusion</h3> Missed opportunities contribute significantly to low influenza immunization rates among children with chronic medical conditions." @default.
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• W2027252315 date "2005-10-01" @default.
• W2027252315 modified "2023-09-24" @default.
• W2027252315 title "Missed Opportunities for Influenza Vaccination in Children With Chronic Medical Conditions" @default.
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• W2027252315 doi "https://doi.org/10.1001/archpedi.159.10.986" @default.
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