Because well-child care represents the most important prevention opportunity in the health care system, a growing number of activities and indicators have been proposed for it. Objective: To measure the time spent in the various components of well-child care.

Although the personnel time for influenza vaccination visits was short, there was substantial patient waiting and long occupancy of examination rooms. If universal influenza vaccination is to be efficiently managed in primary care practices, it may be necessary to implement "vaccination clinics" or sessions in which large numbers of children are scheduled for influenza vaccinations at times when adequate rooms and dedicated nursing staff are available.