EXPORTING A SUCCESSFUL INFLUENZA VACCINATION PROGRAM FROM A TEACHING HOSPITAL TO A COMMUNITY OUTPATIENT SETTING

被引:36
作者
MARGOLIS, KL
NICHOL, KL
WUORENMA, J
VONSTERNBERG, TL
机构
[1] DEPT VET AFFAIRS MED CTR,MINNEAPOLIS,MN
[2] GRP HLTH INC,MINNEAPOLIS,MN
关键词
D O I
10.1111/j.1532-5415.1992.tb04480.x
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Purpose: To assess whether we could export a successful multifaceted influenza vaccination program from an academic medical center to a community setting. Design: Pre/post study using concurrent control groups. Setting: Clinics in a staff model Health Maintenance Organization (HMO). One urban and one suburban clinic were chosen as intervention clinics, while two similar clinics were selected as control clinics. Patients: All patients aged 65 and over enrolled in the four clinics. Interventions: An informational mailing to patients, a standing-order policy allowing nurses to administer vaccine, a vaccination reminder on daily appointment lists, and availability of walk-in visits for vaccination. Patients in the control clinics received usual care. Measurements: Vaccination rates were determined using a validated postcard survey of 150 randomly selected patients at each clinic both at baseline (1988-89) and after the intervention (1989-90). Results: The baseline vaccination rates ranged from 51.4% to 74.6%, with nearly all vaccinations taking place at the HMO. In one intervention clinic, the vaccination rate improved from 56.4% to 72.3%, P = 0.01. In the other, the baseline rate was 74.6% and did not change significantly after the intervention. There was no change in the vaccination rate in the control clinics after the intervention period. Conclusions: An influenza vaccination program that combines several organizational interventions may be successfully exported from an academic to a community setting and may serve as a useful model for others.
引用
收藏
页码:1021 / 1023
页数:3
相关论文
共 14 条
  • [11] IMMUNIZATION POLICIES AND VACCINE COVERAGE AMONG ADULTS - THE RISK FOR MISSED OPPORTUNITIES
    WILLIAMS, WW
    HICKSON, MA
    KANE, MA
    KENDAL, AP
    SPIKA, JS
    HINMAN, AR
    [J]. ANNALS OF INTERNAL MEDICINE, 1988, 108 (04) : 616 - 625
  • [12] YOUNG MJ, 1986, MED DECIS MAKING, V6, P269
  • [13] 1991, MMWR, V40, P1
  • [14] 1989, MMWR, V38, P129