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May 24, 1995

Adequacy of Well-Child Care and Immunization-Reply

Author Affiliations

University of Washington Seattle

JAMA. 1995;273(20):1580. doi:10.1001/jama.1995.03520440032030

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In Reply.  —The concerns expressed by Drs Marcuse, Davis, and Rodewald regarding measuring well-child care visits reflect the limitations of the data source we used. In the survey, the information about well-child care visits that was specifically asked about concerned the first 6 months of life only. Nevertheless, we considered a third set of immunizations given in the seventh month of life as complying with the recommended schedule; indeed, 744 infants (8.4% of the sample) received their third immunization at this age. Since the questionnaire structure did not ask about well-child visits at this age, these encounters with a health care worker were not counted in our analysis of well-child visits.We would like to point out that the median and mean number of well-child visits during the first 6 months of life were 3 and 3.4 for black infants and 3 and 3.75 for white infants, excluding these vaccine

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