a National Vaccine Program Office, Office of the Assistant Secretary for Health , US Department of Health and Human Services , Washington DC , USA.
b Acumen LLC , Burlingame , CA , USA.
Hum Vaccin Immunother. 2018;14(8):1848-1852. doi: 10.1080/21645515.2018.1462067. Epub 2018 May 14.
Older adults are at great risk of developing serious complications from seasonal influenza. We explore vaccination coverage estimates in the Medicare population through the use of administrative claims data and describe a tool designed to help shape outreach efforts and inform strategies to help raise influenza vaccination rates. This interactive mapping tool uses claims data to compare vaccination levels between geographic (i.e., state, county, zip code) and demographic (i.e., race, age) groups at different points in a season. Trends can also be compared across seasons. Utilization of this tool can assist key actors interested in prevention - medical groups, health plans, hospitals, and state and local public health authorities - in supporting strategies for reaching pools of unvaccinated beneficiaries where general national population estimates of coverage are less informative. Implementing evidence-based tools can be used to address persistent racial and ethnic disparities and prevent a substantial number of influenza cases and hospitalizations.
老年人患季节性流感后出现严重并发症的风险很大。我们通过使用行政索赔数据来探索医疗保险人群中的疫苗接种覆盖率估计，并描述了一种工具，旨在帮助制定外展工作并为提高流感疫苗接种率提供信息策略。这个交互式映射工具使用索赔数据来比较季节不同时间点的地理（即州、县、邮政编码）和人口统计学（即种族、年龄）群体之间的疫苗接种水平。还可以比较不同季节的趋势。对该工具的利用可以帮助感兴趣的预防措施的关键参与者——医疗团体、健康计划、医院以及州和地方公共卫生当局——支持针对未接种疫苗的受益人群的策略，因为全国范围内的疫苗接种覆盖率总体估计不太具有信息性。使用循证工具可以用来解决持续存在的种族和民族差异问题，并预防大量流感病例和住院治疗。
