Brownlee H J, Brown D L, D'Angelo R J
J Fam Pract. 1982 Dec;15(6):1111-4.
Pneumococcal diseases continue to account for a significant amount of morbidity and mortality in family practice. Daily charts audits revealed significant underutilization of pneumococcal vaccine in a family practice residency. Identified primary factors for pneumococcal vaccine underutilization were inadequate physician knowledge regarding the vaccine and failure to consider vaccine need during physician-patient encounters. A physician education update regarding vaccine indications and use was completed. A questionnaire was developed and given to each patient, allowing the physician to quickly evaluate each patient's need for pneumococcal vaccine. Evaluation of the first 1,000 questionnaires revealed the approximately 20 percent of the patients had indications for pneumococcal vaccine. Evaluation of immunization records revealed significant increased utilization of the pneumococcal vaccine following initiation of the questionnaire. Patient questionnaires such as this can prove to be a useful tool in the evaluation and provision of preventive medicine services in the family practice setting.
肺炎球菌疾病在家庭医疗中仍然导致大量发病和死亡。每日病历审核发现，在一家家庭医疗住院医师培训项目中，肺炎球菌疫苗的利用率显著不足。确定的肺炎球菌疫苗利用不足的主要因素是医生对该疫苗的知识不足，以及在医患诊疗过程中未考虑疫苗需求。完成了一次关于疫苗适应症和使用的医生教育更新。设计了一份问卷并分发给每位患者，使医生能够快速评估每位患者对肺炎球菌疫苗的需求。对前1000份问卷的评估显示，约20%的患者有接种肺炎球菌疫苗的适应症。对免疫记录的评估显示，在开始使用问卷后，肺炎球菌疫苗的利用率显著提高。这样的患者问卷在家庭医疗环境中评估和提供预防医学服务方面可被证明是一种有用的工具。
