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Can Fam Physician
Vol. 55, No. 11, November 2009, pp.1104 - 1105.e4
Copyright © 2009 by The College of Family Physicians of Canada
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Research

Childhood immunization

Availability of primary care providers in Ontario

Sandra Romain
Undergraduate student in the medical anthropology and health studies programs at the University of Toronto in Scarborough.

Michael A. Schillaci, PhD
Associate Professor in the Department of Social Sciences at the University of Toronto in Scarborough, Ont.

Correspondence: Dr Michael A. Schillaci, University of Toronto, Social Sciences, 1265 Military Trail, Toronto, ON M1C 1A4; telephone 416 287-7328; e-mailschillaci{at}utsc.utoronto.ca

OBJECTIVE To examine childhood immunization levels relative to the number of family physicians, pediatricians, and public health nurses in Ontario.

DESIGN Retrospective comparative analysis of publicly available data on immunization coverage levels and the relative number of family physicians, pediatricians, and public health nurses.

SETTING Ontario.

PARTICIPANTS Seven-year-old children, family physicians, pediatricians, and public health nurses in Ontario.

MAIN OUTCOME MEASURES The association between immunization coverage levels and the relative number of family physicians, pediatricians, and public health nurses.

RESULTS We found correlations between immunization coverage levels and the relative number (ie, per 1000 Ontario residents) of family physicians ({rho} = 0.60) and pediatricians ({rho} = 0.70) and a lower correlation with the relative number of public health nurses ({rho} = 0.40), although none of these correlations was significant. A comparison of temporal trends illustrated that variation in the relative number of family physicians and pediatricians in Ontario was associated with similar variation in immunization coverage levels.

CONCLUSION Increasing the number of family physicians and pediatricians might help to boost access to immunizations and perhaps other components of cost-saving childhood preventive care.


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