Influenza and pneumococcal vaccines are underused.
Systems approaches that incorporate administrative and organizational strategies are more successful than education of providers for improving vaccination rates.
Little has been published on the long-term success and durability of such efforts.
We performed a 10-year time-series study to examine the durability and success of an ongoing, multifaceted, institution-wide influenza and pneumococcal vaccination program.
The program was first implemented at the Minneapolis Department of Veterans Affairs (VA) Medical Center in 1987-88 following the demonstration that a clinic-based standing order policy was much more successful than provider education for improving vaccine delivery.
The program ensures that vaccine is offered to all high-risk patients followed up at the medical center, promotes convenient access for patients, and facilitates efficient administration of vaccine.
Specific elements include an annual mailing to patients, standing orders for nurses, walk-in clinics, and the use of standardized, preprinted documentation forms.
Initially the program targeted high-risk outpatients for influenza vaccination.
It was extended to include inpatients in 1989-90.
Pneumococcal vaccinations were added to the program in 1994-95.
Vaccination rates are estimated each year from surveys mailed to randomly selected patients, and vaccine utilization is monitored through pharmacy logs. (...)
Mots-clés Pascal : Pneumococcie, Streptococcie, Bactériose, Infection, Influenzavirus, Orthomyxoviridae, Virus, Malade, Risque infectieux, Immunoprophylaxie, Vaccination, Evaluation performance, Long terme, Etude statistique, Homme, Appareil respiratoire pathologie, Prévention
Mots-clés Pascal anglais : Pneumococcal infection, Streptococcal infection, Bacteriosis, Infection, Influenzavirus, Orthomyxoviridae, Virus, Patient, Infectious risk, Immunoprophylaxis, Vaccination, Performance evaluation, Long term, Statistical study, Human, Respiratory disease, Prevention
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0023370
Code Inist : 002B30A01A2. Création : 31/05/1999.