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Pages 6-7

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From page 6...
... New, more expensive vaccines were added to the recommended schedule of immunizations. VFC and new approaches to Medicaid encouraged greater reliance on health care providers in the private sector for the delivery of immunization services, while the growth of managed care contributed to fundamental changes in the larger health care delivery system.
From page 7...
... IOM staff and consultants developed eight case studies of publicsector immunization efforts in Alabama, Maine, Michigan, New lersey, North Carolina, Texas, Washington, and Los Angeles and San Diego counties in California (Fairbrother et al., 2000b) .~ Site visits to Detroit, Houston, Los Angeles, and Newark allowed for discussions with local providers and immunization program representatives that supplemented the case study materials.


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