MMWR Morb Mortal Wkly Rep. 1995 Oct 13;44(40):744-6.
Approximately 20,000 influenza-associated deaths occurred during each of 10 different epidemics in the United States during 1972-1991; most (> 90%) of the deaths attributed to pneumonia and influenza occurred among persons aged > or = 65 years. Although Medicare has provided reimbursement for influenza vaccination since 1993, the Health Care Financing Administration (HCFA) received billing claims for influenza vaccination for the 1993-94 and 1994-95 influenza seasons for only 35% and 38% of Medicare beneficiaries, respectively (HCFA, unpublished data, 1995). This report describes the impact of an intervention project in September 1994 in which individual Medicare beneficiaries aged > or = 65 years in Montana and Wyoming were contacted and encouraged to receive influenza vaccination.
1972年至1991年期间，美国10次不同的流感疫情中，每次疫情大约有2万例与流感相关的死亡病例；大多数（>90%）归因于肺炎和流感的死亡病例发生在65岁及以上的人群中。尽管自1993年以来医疗保险一直为流感疫苗接种提供报销，但医疗保健财务管理局（HCFA）分别仅收到了1993 - 94年和1994 - 95年流感季节医疗保险受益人的35%和38%的流感疫苗接种计费索赔（HCFA，未公布数据，1995年）。本报告描述了1994年9月一项干预项目的影响，该项目联系并鼓励了蒙大拿州和怀俄明州65岁及以上的医疗保险受益人接种流感疫苗。
