Zimmerman Richard K, Nowalk Mary Patricia, Raymund Mahlon, Tabbarah Melissa, Hall David G, Wahrenberger J Todd, Wilson Stephen A, Ricci Edmund M
Department of Family Medicine and Clinical Epidemiology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA.
Am J Public Health. 2003 Oct;93(10):1699-705. doi: 10.2105/ajph.93.10.1699.
We designed and evaluated interventions to increase adult immunizations within inner-city health centers.
Interventions included reminders, standing orders, and walk-in "flu shot clinics." Patients were surveyed and records evaluated.
Records from 1 center showed that immunization rates increased from 24% to 30% (P <.001) for patients aged 50 to 64 years and from 45% to 53% for patients aged 65 years and older (P <.001). Self-reported vaccination rates did not increase. In logistic regression analyses, the strongest predictor of vaccination among patients aged 50 to 64 years was the belief that unvaccinated persons will contract influenza (odds ratio [OR] = 5.4; 95% confidence interval [CI] = 2.4, 12.0). Among patients aged 65 years and older, the strongest predictor of vaccination was the belief that friends/relatives thought that they should be vaccinated (OR = 9.7; 95% CI = 4.2, 22.3).
Tailored interventions can improve immunization rates at inner-city health centers.
我们设计并评估了旨在提高市中心区医疗中心成人疫苗接种率的干预措施。
干预措施包括提醒、常规医嘱以及无需预约的“流感疫苗接种门诊”。对患者进行了调查,并对记录进行了评估。
来自1个中心的记录显示,50至64岁患者的免疫接种率从24%提高到了30%(P <.001),65岁及以上患者的免疫接种率从45%提高到了53%(P <.001)。自我报告的疫苗接种率没有提高。在逻辑回归分析中,50至64岁患者中疫苗接种的最强预测因素是认为未接种疫苗的人会感染流感(比值比[OR]=5.4;95%置信区间[CI]=2.4,12.0)。在65岁及以上患者中,疫苗接种的最强预测因素是认为朋友/亲属认为他们应该接种疫苗(OR = 9.7;95% CI = 4.2,22.3)。
量身定制的干预措施可以提高市中心区医疗中心的免疫接种率。