Quality Management Officer, Veterans Integrated Service Network #3, 130 W. Kingsbridge Road, Bronx, NY 10468, USA.
Curr Infect Dis Rep. 2006 May;8(3):231-7. doi: 10.1007/s11908-006-0064-y.
Despite the fact that invasive Streptococcus pneumoniae remains a leading cause of death, current levels of immunization in the at risk population remain low and well below the 90% goal for Healthy People 2010. A number of intervention strategies to increase immunization rates (for influenza and pneumonia) have been demonstrated to be effective in increasing these rates when used alone or in combination. A summary of this literature is presented including recent data on the effectiveness of pay-for-performance approaches for increasing preventive care. Data are also presented on intervention strategies judged to be most effective in a large health care system, the Veterans Health Administration, which has essentially reached the Healthy People 2010 goal for pneumococcal immunization.
尽管侵袭性肺炎链球菌仍然是导致死亡的主要原因，但高危人群的免疫接种率仍然很低，远低于 2010 年健康人 90%的目标。已经证明，许多提高免疫接种率（流感和肺炎）的干预策略在单独或联合使用时都能有效提高这些比率。本文综述了这方面的文献，包括最近关于按效付费方法提高预防保健效果的数据。还介绍了在大型医疗保健系统中被认为最有效的干预策略的数据，退伍军人健康管理局基本上已经达到了 2010 年健康人肺炎球菌免疫接种目标。
