在基层医疗环境中追踪疫苗接种依从性：在线病史、提醒、订单录入和图表记录。
Tracking vaccine compliance in a primary care setting: online history, reminders, order entry, and charting.
作者信息
Flanagan J R, Walker K P
机构信息
Information Systems Department, University of Iowa Hospitals and Clinics, Iowa City, USA.
出版信息
Proc AMIA Symp. 1999:760-4.
In a new primary care setting with three medical disciplines participating, a vaccine history and order entry system was implemented along with other online documentation systems as the primary documentation tools for the clinic. Reminders were generated based upon a set of algorithms consistent with 1998 nationally accepted vaccine guidelines. Vaccine compliance data were analyzed for the entire population cared for in this setting for a 6 month period. Rates of compliance with national recommendations for eight key vaccine groups were calculated based on the online data. Trends in the rates of compliance, interpreted within limitations, showed statistically and clinically significant improvements. The immunization application accomplished several goals: accurate history and patient-specific recommendations, online ordering of vaccines or serum products, online charting of administration that, in turn, automatically maintained the vaccine history.
在一个有三个医学学科参与的新基层医疗环境中，实施了疫苗接种史和医嘱录入系统以及其他在线文档系统，作为诊所的主要文档工具。根据一套与1998年全国公认的疫苗指南一致的算法生成提醒。对该环境下6个月内所照顾的全部人群的疫苗接种依从性数据进行了分析。根据在线数据计算了八个关键疫苗组的国家建议依从率。在一定限制范围内解释的依从率趋势显示出具有统计学意义和临床意义的改善。免疫接种应用实现了几个目标：准确的病史和针对患者的建议、疫苗或血清产品的在线订购、接种管理的在线记录，进而自动维护疫苗接种史。
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