USF Health Morsani College of Medicine, 546 Channelside Dr., Tampa, FL, 33602, USA.
Department of Family Medicine, University of South Florida, 13330 USF Laurel Dr., Tampa, FL, 33612, USA.
J Community Health. 2020 Oct;45(5):910-915. doi: 10.1007/s10900-020-00808-w.
Lower vaccination rates in uninsured adults may be related to prohibitive costs of and limited access to vaccines. To compare Tdap and pneumococcal vaccination rates of a student-run free clinic to national averages. A retrospective chart review of 236 adult patients from 05/2017 to 06/2019 was conducted. Vaccine eligibility was determined according to CDC guidelines at the time of the patient visit and according vaccination history by review of medical records. Percent up-to-date was determined by dividing the number of up-to-date individuals by the total number of patients eligible for the vaccine. BRIDGE Healthcare Clinic vaccination rates were near or surpassed national averages. The percent of up-to-date individuals was 63.1% for Tdap, 90% for pneumococcal vaccines in adults 65 or older, and 86.5% for pneumococcal vaccines in high-risk adults 18-64 years. This compares with 2017 national averages of 63.4%, 69%, and 24.5%, respectively (Center for Disease Control and Prevention (CDC) Vaccination coverage among adults in the United States, National Health Interview Survey. Retrieved February 8, 2018 from https://www.cdc.gov/vaccines/imz-managers/coverage/adultvaxview/pubs-resources/NHIS-2017.html#pneumo , 2017). Of the 197 vaccines provided during the course of this study, 184 were provided by the BRIDGE Healthcare Clinic. In conclusion, with the appropriate funding and stewardship, student-run free clinics play a resourceful role in increasing access to preventative health care for uninsured patients.
未参保成年人的疫苗接种率较低，可能与疫苗的高昂费用和有限的可及性有关。为了比较学生经营的免费诊所的 Tdap 和肺炎球菌疫苗接种率与全国平均水平。对 2017 年 5 月至 2019 年 6 月期间的 236 名成年患者进行了回顾性图表审查。根据患者就诊时的 CDC 指南和病历回顾中的疫苗接种史，确定疫苗接种资格。根据可接种疫苗的患者总数，将接种人数除以总人数，得出最新接种率。BRIDGE Healthcare Clinic 的疫苗接种率接近或超过全国平均水平。最新接种率为 Tdap 为 63.1%，65 岁及以上成人肺炎球菌疫苗为 90%，18-64 岁高危成人肺炎球菌疫苗为 86.5%。这与 2017 年全国平均水平（分别为 63.4%、69%和 24.5%）相比（疾病控制和预防中心（CDC）美国成年人疫苗接种率，全国健康访谈调查。2018 年 2 月 8 日从 https://www.cdc.gov/vaccines/imz-managers/coverage/adultvaxview/pubs-resources/NHIS-2017.html#pneumo 检索）。在本研究期间提供的 197 种疫苗中，有 184 种是由 BRIDGE Healthcare Clinic 提供的。总之，在适当的资金和管理下，学生经营的免费诊所为无保险患者获得预防性医疗保健提供了丰富的资源。
