Mental Health, 418838Fiona Stanley Hospital, Murdoch, WA, AU.
University of Western Australia, Perth, AU.
Australas Psychiatry. 2023 Feb;31(1):38-42. doi: 10.1177/10398562221136756. Epub 2022 Nov 6.
To assess the COVID-19 vaccination rates of a severe mental illness (SMI) population in Western Australia (WA) in January to March 2022, and to evaluate an inpatient COVID-19 vaccination program available to this group.
A retrospective audit of the COVID-19 vaccination status of inpatients at the Mental Health Unit (MHU) at a tertiary hospital in WA was conducted and compared with the state average. Additionally, the medical records were interrogated to determine whether eligible inpatients were offered and received COVID-19 vaccination via the inpatient vaccination program.
Vaccination rates for the MHU population were substantially lower than those for the WA population, particularly earlier in 2022. During January, just 49.0% of admitted patients had received two doses of the vaccine, compared to 92.8% of WA. Over the three months, 67 (47.2%) of all admissions were eligible for vaccination during their admission and 19 of the eligible patients (28.4%) were successfully vaccinated.
This audit has demonstrated a slow uptake of COVID-19 vaccinations in the SMI population, despite the wide availability for 12 months prior to this period. This indicates a significant potential for targeted, assertive programs to improve vaccination rates in this population group.
评估 2022 年 1 月至 3 月西澳大利亚州(WA)严重精神疾病(SMI)人群的 COVID-19 疫苗接种率,并评估针对该人群的住院 COVID-19 疫苗接种计划。
对 WA 一家三级医院精神卫生病房(MHU)住院患者的 COVID-19 疫苗接种状况进行回顾性审计,并与州平均水平进行比较。此外,还查阅了病历,以确定是否通过住院疫苗接种计划为符合条件的住院患者提供并接种了 COVID-19 疫苗。
MHU 人群的疫苗接种率远低于 WA 人群,尤其是在 2022 年初。仅在 1 月份,就有 49.0%的住院患者接种了两剂疫苗,而 WA 的这一比例为 92.8%。在这三个月中,所有住院患者中有 67 人(47.2%)在住院期间有资格接种疫苗,其中 19 名符合条件的患者(28.4%)成功接种了疫苗。
尽管在这一时期之前的 12 个月内广泛提供疫苗,但本次审计显示 SMI 人群对 COVID-19 疫苗的接种速度缓慢。这表明针对该人群组,有必要开展有针对性且积极主动的项目来提高疫苗接种率。