Inner-city populations often lack access to important preventive health services, such as well-child care and immunizations. In recent years, many policymakers have embraced case management as a promising means of better serving these populations and of increasing their access to needed health care services. Previous research has indicated that, under some circumstances, case management can be a highly effective means of improving health outcomes. To determine whether case management would be similarly effective at increasing immunization rates and access to well-child care among high-risk populations, RAND performed a prospective, randomized controlled trial of a case management intervention among African-American families living in a low-income community in south central Los Angeles.

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