dc.contributor.author |
Grant, CC |
en |
dc.contributor.author |
Turner, NM |
en |
dc.contributor.author |
York, DG |
en |
dc.contributor.author |
Goodyear-Smith, FA |
en |
dc.contributor.author |
Petousis-Harris, HA |
en |
dc.date.accessioned |
2012-05-01T03:49:34Z |
en |
dc.date.available |
2012-05-01T03:49:34Z |
en |
dc.date.issued |
2010 |
en |
dc.identifier.citation |
Br J Gen Pract 60(572):e113-e120 Mar 2010 |
en |
dc.identifier.issn |
0960-1643 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/17661 |
en |
dc.description.abstract |
Background
Immunisation coverage in New Zealand is lower than
what is necessary to prevent large epidemics of
pertussis. Primary care is where most immunisation
delivery occurs. General practices vary in their structure
and organisation, both in a general sense and
specifically with respect to immunisation delivery.
Aim
To identify the structural and organisational
characteristics of general practices associated with
higher immunisation coverage and more timely
immunisation delivery.
Design of study
A random sample of practices during 2005 and 2006.
Setting
General practices in the Auckland and Midland regions,
with over-sampling of indigenous Maori governance
practices.
Method
Practice immunisation coverage and timeliness were
measured. Primary care practice characteristics relevant
to immunisation delivery by the practice were described.
Associations of these practice characteristics with
higher practice immunisation coverage and more timely
immunisation delivery were determined.
Results
A total of 124 (61%) of 205 eligible practices were
recruited. A median (25th to 75th centile) of 71%
(57–77%) of registered children at each practice were
fully immunised, and 56% (40–64%) had no
immunisation delay. In multivariate analyses, both
practice immunisation coverage (P<0.001) and
timeliness (P<0.001) decreased with increased social
deprivation. After adjustment for socioeconomic
deprivation, region, and governance, immunisation
coverage and timeliness were better at practices that
enrolled children at a younger age (coverage: P = 0.002;
timeliness P = 0.007), used one of the four available
practice management systems (coverage: P<0.001;
timeliness: P = 0.006), and had no staff shortages
(coverage: P = 0.027; timeliness: P = 0.021).
Conclusion
Practice immunisation coverage and timeliness vary
widely in New Zealand. General organisational and
structural aspects of general practices are key
determinants of general practice immunisation delivery. |
en |
dc.relation.ispartofseries |
British Journal of General Practice |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.source.uri |
http://dx.doi.org/10.3399/bjgp10X483535 |
en |
dc.title |
Factors associated with immunisation coverage and timeliness in New Zealand |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.3399/bjgp10X483535 |
en |
dc.rights.holder |
Copyright: British Journal of General Practice |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.elements-id |
102800 |
en |
pubs.org-id |
Faculty of Medical & Hlth Sci |
en |
pubs.org-id |
Population Health |
en |
pubs.org-id |
Gen.Practice& Primary Hlthcare |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Paediatrics Department |
en |
pubs.org-id |
Other Academic Activities |
en |
pubs.org-id |
Centre for Continuing Education |
en |