Stewart-Lynch Autumn, Lombardo Sylvia, Ceriani Donna, Mastrangelo Shelley
Duquesne University, School of Pharmacy, Pharmacy Practice Division, 600 Forbes Ave, 209, Bayer Learning Center, Pittsburgh, PA, 15219, USA.
Heritage Valley Health System, Family Medicine Center, 1125 Seventh Ave, Beaver Falls, PA, 15010, USA.
J Interprof Educ Pract. 2023 Jun;31:100606. doi: 10.1016/j.xjep.2023.100606. Epub 2023 Jan 18.
The COVID-19 pandemic halted routine medical care, including well-child visits (WCVs) and immunizations.
Describe the development and impact of a multidisciplinary initiative on the number of WCVs and immunizations delivered in aftermath of the COVID-19 pandemic over a four week period between April 14, 2021 and May 5, 2021.
Student pharmacists (SP), family medicine residents (FMRs), and nurses within a family medicine practice in a medically underserved community, developed a program to increase the number of pediatric patients up-to-date on WCVs and immunizations. "Well-child Wednesdays" used adjusted staffing to conduct visits with patients behind on vaccines. The 4-week pilot program utilized SPs to identify immunization gaps in patients less than 12 years old following chart review and to coordinate scheduling. During the visit, FMRs completed the components of the well-child visit; immunization gaps were communicated to the nurse who, after review, administered needed immunizations.
Of 193 patient charts reviewed for immunization needs, 68 were not up-to-date on routine vaccines and 29 patients (mean age 5 years old, 58.6% male) were able to be reached and agreed to schedule a visit. Of these, 20 kept their appointment and a total of 69 vaccines were administered, with DTaP as the most common with 13 doses administered followed by Hepatitis A with 10 doses given.
An interprofessional immunization program was an effective strategy to address the decline in immunizations and WCVs as a result of COVID-19.
新冠疫情中断了常规医疗服务,包括儿童健康检查(WCVs)和免疫接种。
描述一项多学科倡议在2021年4月14日至2021年5月5日的四周时间内,对新冠疫情后提供的儿童健康检查和免疫接种数量的发展及影响。
在一个医疗服务不足社区的家庭医学诊所中,学生药剂师(SP)、家庭医学住院医师(FMR)和护士制定了一项计划,以增加按时进行儿童健康检查和免疫接种的儿科患者数量。“儿童健康周三”通过调整人员配置,为疫苗接种滞后的患者进行检查。这个为期4周的试点项目利用学生药剂师在查阅病历后确定12岁以下患者的免疫接种缺口,并协调安排检查时间。在检查过程中,家庭医学住院医师完成儿童健康检查的各项内容;免疫接种缺口会告知护士,护士在审核后进行所需的免疫接种。
在审查的193份免疫接种需求患者病历中,68份未按时接种常规疫苗,29名患者(平均年龄5岁,58.6%为男性)能够取得联系并同意安排检查。其中,20名患者如约前来,共接种了69剂疫苗,最常见的是白百破疫苗,接种了13剂,其次是甲型肝炎疫苗,接种了10剂。
一项跨专业免疫接种计划是应对因新冠疫情导致的免疫接种和儿童健康检查数量下降的有效策略。