Evidence map›Paper›PMID 10846516›Full record

ArticleAmerican journal of public health2000

The association between greater continuity of care and timely measles-mumps-rubella vaccination.

D A Christakis, L Mell, J A Wright, R Davis, F A Connell

Abstract read
In one paragraph

Article in American journal of public health, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Discussion of maternal stress during pediatric primary care visits.Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association
    Trial
  4. Continuity and locum use for acute consultations: observational study of subsequent workload.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Observational
  5. General practice - the integrating discipline.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  6. Article
  7. The Impact of COVID-19 Protocols on the Continuity of Care for Patients with Hypertension.International journal of environmental research and public health · 2022
    Article
  8. A method for measuring continuity of care in day-to-day general practice: a quantitative analysis of appointment data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Article
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  16. Retail clinic visits and receipt of primary care.Journal of general internal medicine · 2013
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

D A ChristakisDepartment of Pediatrics, University of Washington, Seattle 98103-8652, USA. dachris@u.washington.edu
L Mell
J A Wright
R Davis
F A Connell

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study assessed whether greater continuity of care is associated with timely administration of measles-mumps-rubella (MMR) vaccination.

methodsWe studied 11,233 patients continuously enrolled in Group Health Cooperative (GHC) from birth to 15 months. We used a preestablished index to quantify continuity of care based on the number of primary care providers in relation to the number of clinic visits. MMR vaccination status at 15 months was assessed with automated immunization data systems at GHC.

resultsIn a logistic regression model, both medium continuity (odds ratio [OR] = 1.20, 95% confidence interval [CI] = 1.08, 1.33) and high continuity (OR = 1.36, 95% CI = 1.22, 1.52) were associated with increased likelihood of being immunized by 15 months compared with patients in the lowest tercile of continuity of care.

conclusionGreater continuity of care is associated with more timely immunization.

Indexed as

Child Health ServicesContinuity of Patient CareFemaleHumansImmunization ScheduleInfantInsurance, HealthLogistic ModelsMaleMeasles-Mumps-Rubella VaccineMeasles VaccineMumps VaccineRubella VaccineVaccines, CombinedWashingtonMeasles-Mumps-Rubella VaccineMeasles VaccineMumps VaccineRubella VaccineVaccines, Combined

Identifiers

PMID10846516
PMCPMC1446264

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.