Childhood Immunization Availability in Primary Care Practices
Thomas J. Allen, MD
Private Practice Loveland, Colo
Arch Fam Med. 1995;4(2):97.
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Hueston et al1 presented a study that is seriously flawed. A comparison was made between family physicians in three states with state-supported immunization programs and like physicians in three states without such programs. There was no mention of educational efforts or promotional materials that are similar to those inherent in the initiation of a state program's being provided to the physicians in the states without a state immunization program. Without such control measures, it is impossible to determine whether the increased levels of immunization in the states with state programs were due to the provision of vaccines or simply to the increased level of awareness of duty among the involved physicians. Reliance on studies of this type may lead erroneously to increasing dependence on complicated government programs to accomplish relatively simple goals.
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