{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T16:31:38Z","timestamp":1779381098260,"version":"3.53.1"},"reference-count":8,"publisher":"Emerald","issue":"1","license":[{"start":{"date-parts":[[1995,2,1]],"date-time":"1995-02-01T00:00:00Z","timestamp":791596800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1995,2,1]]},"abstract":"<jats:p>Immunization is a key primary prevention activity which has\nassisted in the reduction of childhood morbidity and premature\nmortality. Uptake rates for two\u2010year\u2010old children are now in excess of\n90 per cent throughout the UK and for the vast majority of infants\nimmunization is a routine procedure with a high benefit\u2010to\u2010risk ratio.\nConcerns about particular children, either because of their previous\nmedical history or an adverse vaccine event, have been responded to in\nvarious ways. The experiences of a specialist immunization facility\nestablished in 1987, which since inception has seen just over 3,000\nchildren are described. The clinic operates four sessions a week, with\ntwo held in the District General Hospital and two in community clinics;\nthe resource requirements for the clinic are identified. A parent\nsatisfaction survey for the first 1,700 attenders was undertaken in 1992\nand the results are reported; their comments led to changes in the\nmethod of service delivery. A study of GPs\u2032 views was also undertaken at\nthe same time; their satisfaction with the service is reflected in the\ncontinuing level of referrals. It is believed that all provider units\nshould consider developing a similar facility for five reasons. First,\nit provides a source of expert advice for both professionals and\nparents; second, it facilitates the immunization of children with\nproblem histories; third, it enables the investigation of serious\npost\u2010vaccination adverse events; and fourth, the clinic provides a means\nof co\u2010ordinating and delivering neonatal immunizations (including BCG,\nHBV, Varicella zoster and the vaccination of pre\u2010term infants). And\nfinally the clinic offers training for health care staff involved in\nprimary immunization programmes and travel vaccination services.<\/jats:p>","DOI":"10.1108\/02689239510080494","type":"journal-article","created":{"date-parts":[[2002,7,28]],"date-time":"2002-07-28T18:59:46Z","timestamp":1027882786000},"page":"58-65","source":"Crossref","is-referenced-by-count":5,"title":["The organization, delivery and audit of a specialist immunization clinic"],"prefix":"10.1108","volume":"9","author":[{"given":"David","family":"Baxter","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"140","reference":[{"key":"key2022020520243544900_b1","unstructured":"1. White, J.M., Leon, S.\nand Begg, N.T., Cover of Immunization Evaluated Rapidly:\n30, Communicable Disease Report 4:R82, Communicable Diseases Surveillance, London, 1994."},{"key":"key2022020520243544900_b2","unstructured":"2. \u201cA shot in the dark\n\u201d, World in Action, Channel 3, 28\nNovember 1994."},{"key":"key2022020520243544900_b3","doi-asserted-by":"crossref","unstructured":"3. Newport, M.J. and Conway, S.R., \u201cExperience of a specialist service for advice on\nchildhood immunization\u201d, Journal of Infection,\nVol. 26 No. 2, 1993, pp. 295\u2010300.","DOI":"10.1016\/0163-4453(93)95481-W"},{"key":"key2022020520243544900_b4","doi-asserted-by":"crossref","unstructured":"4. Hall, R. and Williams, A.L., \u201cSpecial advisory service for immunization\n\u201d, Archives of Diseases of Children, Vol. 63\nNo. 12, 1988, pp. 1498\u2010500.","DOI":"10.1136\/adc.63.12.1498"},{"key":"key2022020520243544900_b5","doi-asserted-by":"crossref","unstructured":"5. Baxter, D.N., \u201cImproving immunization uptake in the United Kingdom\u201d, Public Health, No. 104, 1990, pp. 267\u201074.","DOI":"10.1016\/S0033-3506(05)80476-7"},{"key":"key2022020520243544900_b7","doi-asserted-by":"crossref","unstructured":"7. American Academy of Pediatrics\nCommittee of Infectious Diseases, \u201cFamily history of\nconvulsions in candidates for immunization with pertussis containing\nvaccines (diphtheria, tetanus, pertussis)\u201d, Pediatrics, Vol. 80 No. 5, November\n1987, pp. 743\u20104.","DOI":"10.1542\/peds.80.5.743"},{"key":"key2022020520243544900_b8","doi-asserted-by":"crossref","unstructured":"8. Baxter, D.N., \u201cPertussis immunization of children with histories of neurological\nproblems\u201d, British Medical Journal, Vol. 309, 1994, p. 1619.","DOI":"10.1136\/bmj.309.6969.1619"},{"key":"key2022020520243544900_b9","unstructured":"9. Department of Health, Immunization against Infectious Disease 1990, DoH, Welsh\nOffice, Scottish Home and Health Department, HMSO,\nLondon, 1992."}],"container-title":["Journal of Management in Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.emeraldinsight.com\/doi\/full-xml\/10.1108\/02689239510080494","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/02689239510080494\/full\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/02689239510080494\/full\/html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T23:58:20Z","timestamp":1753401500000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.emerald.com\/jhom\/article\/9\/1\/58-65\/234428"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,2,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1995,2,1]]}},"alternative-id":["10.1108\/02689239510080494"],"URL":"https:\/\/doi.org\/10.1108\/02689239510080494","relation":{},"ISSN":["0268-9235"],"issn-type":[{"value":"0268-9235","type":"print"}],"subject":[],"published":{"date-parts":[[1995,2,1]]}}}