The Institute for Clinical Evaluative Sciences, 2075 Bayview Avenue, Room G1 06, Toronto, Ontario M4N 3M5, Canada.
Vaccine. 2010 Mar 24;28(15):2722-9. doi: 10.1016/j.vaccine.2010.01.024. Epub 2010 Jan 26.
Influenza vaccines are universally funded in Ontario, Canada. Some public health units (PHUs) vaccinate children in schools. We examined the impact of school-based delivery on vaccination rates and healthcare use of the entire population over seven influenza seasons (2000-2007) using population-based survey and health administrative data. School-based vaccination was associated with higher vaccination rates in school-age children only. Doctors' office visits were lower for PHUs with school-based vaccination for children aged 12-19 but not for other age groups. Emergency department use and hospitalizations were similar between the two groups. In the context of universal influenza vaccination, school-based delivery is associated with higher vaccination rates and modest reductions in healthcare use in school-age children.
在加拿大安大略省，流感疫苗普遍由政府出资。一些公共卫生部门（PHU）在学校为儿童接种疫苗。我们利用基于人群的调查和健康管理数据，在七个流感季节（2000-2007 年）期间，研究了基于学校的接种对整个人群的接种率和医疗保健使用的影响。基于学校的接种仅与学龄儿童的更高接种率相关。对于为 12-19 岁儿童提供基于学校的接种的 PHU，医生办公室就诊率较低，但对于其他年龄组则没有。两组的急诊部门使用和住院治疗情况相似。在普遍接种流感疫苗的背景下，基于学校的接种与更高的接种率以及学龄儿童医疗保健使用的适度减少有关。
