通过 Medicare 年度健康访视推动免疫接种：日益增长的机会。
Driving immunization through the Medicare Annual Wellness Visit: A growing opportunity.
机构信息
National Vaccine Program Office, Office of the Assistant Secretary for Health, US Department of Health and Human Services, Washington DC, United States.
Acumen LLC, Burlingame, CA, United States.
出版信息
Vaccine. 2017 Dec 15;35(50):6938-6940. doi: 10.1016/j.vaccine.2017.10.055. Epub 2017 Oct 28.
INTRODUCTION
The Annual Wellness Visit (AWV) is a Medicare benefit designed to help prevent disease and disability based on individualized health and risk factors.
METHODS
This study analyzes Medicare Part B fee-for-service claims from 2011 to 2016 to assess AWV and seasonal influenza and pneumococcal conjugate vaccinations utilization over time.
RESULTS
Utilization of the AWV has increased from 8% of Medicare beneficiaries in 2011 to 19% in 2015. In each year, influenza and PCV13 vaccination rates are higher among those who utilize the benefit. More than one-third (33%) of patients who had an AWV in 2015 received a PCV13 vaccination in that same year, compared to 14% of those who did not. Similarly, the seasonal influenza vaccination rate was 64% among those with an AWV and 44% among those without.
CONCLUSION
The AWV demonstrates promise for improving immunization rates among Medicare beneficiaries particularly at the point of care.
简介
年度健康访视（AWV）是一项医疗保险福利，旨在根据个人健康和风险因素帮助预防疾病和残疾。
方法
本研究分析了 2011 年至 2016 年的 Medicare 部分 B 按服务收费的索赔，以评估 AWV 以及季节性流感和肺炎球菌结合疫苗的接种随时间的利用情况。
结果
自 2011 年以来，接受 Medicare 福利的人群中，接受 AWV 的比例从 8%增加到了 2015 年的 19%。在每年中，利用该福利的人群中流感和 PCV13 疫苗接种率更高。与未接受 AWV 的人群相比，2015 年接受 AWV 的患者中，有超过三分之一（33%）的人在同一年接受了 PCV13 疫苗接种。同样，接受 AWV 的季节性流感疫苗接种率为 64%，而未接受 AWV 的人群为 44%。
结论
AWV 有望提高 Medicare 受益人的免疫接种率，特别是在护理点。
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