ArticleVaccine2017
Integration of data from a safety net health care system into the Vaccine Safety Datalink.
Article in Vaccine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Analysis of Variation in Organizational Definitions of Primary Care Panels: A Systematic Review.JAMA network open · 2022Pooled it
- Attitudes and beliefs regarding COVID-19 and COVID-19 Omicron booster vaccine among adults in the vaccine safety datalink, 2022-2023.Human vaccines & immunotherapeutics · 2025Article
- Religious Service Attendance, COVID-19 Vaccine Attitudes, and COVID-19 Vaccination Status: A Vaccine Safety Datalink Member Survey, 2022-2023.AJPM focus · 2025Article
- Patterns of long-term opioid therapy with prior nonpharmacologic pain management utilization.Scientific reports · 2025Article
- COVID-19 and Completion of Select Routine Childhood Vaccinations.Pediatrics · 2025Article
- Attitudes Toward COVID-19 Vaccines Among Pregnant and Recently Pregnant Individuals.JAMA network open · 2024Article
- Opioid Dose Trajectories and Associations With Mortality, Opioid Use Disorder, Continued Opioid Therapy, and Health Plan Disenrollment.JAMA network open · 2022Article
- Development and validation of a prediction model for opioid use disorder among youth.Drug and alcohol dependence · 2021Article
- Temporal Trends in Undervaccination: A Population-Based Cohort Study.American journal of preventive medicine · 2021Article
- The situation of vaccines for the prevention of infections in adults: An opinion paper on the situation in Spain.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2019Article
- Development and evaluation of a standardized research definition for opioid overdose outcomes.Substance abuse · 2019Article
- Prediction Model for Two-Year Risk of Opioid Overdose Among Patients Prescribed Chronic Opioid Therapy.Journal of general internal medicine · 2018Article
- Vaccine adverse events in a safety net healthcare system and a managed care organization.Vaccine · 2017Article
- Beyond Vaccination Coverage: Population-Based Measurement of Early Childhood Immunization Schedule Adherence.Academic pediatricsReview
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundIn 2013 the Institute of Medicine suggested that the Vaccine Safety DataLink (VSD) should broaden its population by including data of more patients from low income and racially and ethnically diverse backgrounds. In response, Kaiser Permanente Colorado (KPCO) partnered with Denver Health (DH), an integrated safety net health care system, to explore the integration of DH data.
methodsWe compared three different methods (reference date of September 1, 2013): "Empanelment" (any patient who has had a primary care visit in the past 18months), "Proxy-enrollment" (two health care visits in 3years separated by 90days), and "Enrollment" in a managed care plan. For each of these methods, we compared cohort size, vaccination rates, socio-demographic characteristics, and health care utilization.
resultsThe empaneled population at DH provided the best comparison to KPCO. DH's empaneled population was 111,330 (57,173 adults; 54,157 children), while KPCO had 436,290 empaneled patients (336,462 adults; 99,828 children). Vaccination rates in both health care systems for empaneled patients were comparable. Two year-old up-to-date coverage rates were 83.2% (KPCO) and 86.9% (DH); rates for adolescent Tdap and MCV4 were 85.5% (KPCO) and 90.6% (DH). There were significant differences in the two populations in age, gender, race, preferred language, and % Federal Poverty Level (FPL) (DH 70.7%<100% FPL; KPCO 17.4%), as well as in healthcare utilization - for example pediatric emergency department utilization was twice as high at DH.
conclusionsUsing a cohort of "empaneled" patients, it is possible to integrate data from a safety net health care system that does not have a uniform managed care population into the VSD, and to compare vaccination rates, socio-demographic characteristics, and health care utilization across the two systems. The KPCO-DH collaboration may serve as a model for incorporating data from a safety net healthcare system into the VSD.
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