Jones MU, Carter CG, Cameron KL, Smith TK. The Impact of
Vaccine Refusal on Physician Office Visits During the Subsequent 12 Months. Mil
Med. 2017 Sep;182(9):e1810-e1815.
Abstract
We hypothesized that families who are nonadherent to the
routine vaccination schedule (RVS) present less frequently for physician
visits. We conducted a retrospective chart review to compare the number of
visits made over the subsequent 12-month period by families that refused the
RVS versus those who were adherent. Subjects were aged 0 to 4 years, enrolled
to Keller Army Hospital, and had a diagnosis indicating the RVS was refused.
Age-matched controls, who were adherent to the RVS, were randomly chosen for
each case. Subjects made significantly more total visits than CASES: 7
(interquartile range [IQR] = 1-20) versus 6 (IQR = 2-17), p = 0.0049. When each
visit type was compared independently, there was no significant difference in
the number of acute (p = 0.494) or emergency department (p = 0.077) visits
between groups. However, subjects who refused to follow the RVS made
significantly fewer routine care visits during the 1-year follow-up period
compared to those that adhered to the RVS (p < 0.001).
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