The immunization compliance among 2-year-olds in a prepaid healthcare system in Indianapolis was studied. Since appointments and immunizations are covered benefits, immunization rates should approach 100%; complete immunizations were found in only 72%. Problems identified included transient membership, failure to determine immunization status on patients, reluctance to administer immunizations to children with mild illnesses, asking patients to return for administration of immunizations without a physician exam and record-keeping errors.
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