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Improving Vaccination Coverage Through Accelerated Measurement and Feedback

Thomas Schlenker, MD, MPH; Sauan Sukhan, PhD; Carolyn Swenson, RN
JAMA. 1998;280(17):1482-1483. doi:10-1001/pubs.JAMA-ISSN-0098-7484-280-17-jbk1104.
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To the Editor.—A previous study documented success in improving immunization rates of 136000 children served by 200 public health clinics in Georgia through the application of a 7-year program of "measurement and feedback."1 This measurement and feedback program consisted of annual sampling of charts to determine the proportion of 2-year-olds up-to-date on their immunizations at each clinic, communication of clinic-specific rates, including their rank order, and awards for best performers.2 From 1988 to 1994, up-to-date rates increased from 53% to 89%.

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Immunization coverage in 1997 (4 diphtheria-tetanus-pertussis, 3 polio, and 1 measles-mumps-rubella vaccinations by 2 years of age) for 5259 children aged 8 to 27 months.

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