Van Amburgh J A, Waite N M, Hobson E H, Migden H
From School of Pharmacy, Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts, USA.
Pharmacotherapy. 2001 Sep;21(9):1115-22. doi: 10.1592/phco.21.13.1115.34624.
To increase the rate of influenza vaccinations in high-risk patients by means of a pharmacist-managed immunization campaign.
Unblinded, single intervention.
Rural primary care clinic.
Six hundred fifty-seven patients at high risk for contracting influenza according to criteria established by the Centers for Disease Control and Prevention.
High-risk patients identified by chart review were mailed an education packet on influenza immunization. Vaccinations were given in specially designated clinics and during routine clinic visits. Campaign success and reasons why patients remained unvaccinated were determined by follow-up surveys.
The influenza vaccination rate increased from 28% at baseline (before program initiation) to 54% after program initiation. Unvaccinated patients were younger and resided in more urban areas than vaccinated patients; vaccinated patients had a higher frequency of cardiovascular disease or diabetes mellitus. Vaccinated patients consistently identified the education packet and their health care providers as primary motivators for vaccination.
Our pharmacist-managed vaccine program increased the influenza immunization rate in high-risk patients.
通过药剂师管理的免疫接种活动提高高危患者的流感疫苗接种率。
非盲单干预。
农村初级保健诊所。
根据疾病控制与预防中心制定的标准，657名有感染流感高危风险的患者。
通过病历审查确定的高危患者会收到一份关于流感疫苗接种的教育资料包。疫苗接种在专门指定的诊所及常规门诊就诊期间进行。通过随访调查确定活动的成效以及患者未接种疫苗的原因。
流感疫苗接种率从基线（项目启动前）的28%升至项目启动后的54%。未接种疫苗的患者比接种疫苗的患者更年轻，且居住在城市地区更多；接种疫苗的患者患心血管疾病或糖尿病的频率更高。接种疫苗的患者一致认为教育资料包和他们的医疗服务提供者是接种疫苗的主要推动因素。
我们的药剂师管理的疫苗项目提高了高危患者的流感疫苗接种率。
