肺炎球菌肺炎和流感疫苗接种：美国西班牙裔医疗保险受益人的获取与使用情况
Pneumococcal pneumonia and influenza vaccination: access to and use by US Hispanic Medicare beneficiaries.
作者信息
Mark T L, Paramore L C
机构信息
Project HOPE Center for Health Affairs, Bethesda, MD 20814, USA.
出版信息
Am J Public Health. 1996 Nov;86(11):1545-50. doi: 10.2105/ajph.86.11.1545.
OBJECTIVES
This study examined differences between elderly Hispanic Medicare beneficiaries and other Medicare beneficiaries in the probability of being immunized for pneumococcal pneumonia and influenza.
METHODS
We used the 1992 national Medicare Current Beneficiary Survey to evaluate influenza and pneumococcal pneumonia immunization rates.
RESULTS
Elderly Hispanic Medicare beneficiaries were less likely than non-Hispanic White Medicare beneficiaries to have received an influenza vaccine in the past year or to have ever been immunized for pneumococcal pneumonia. Speaking Spanish was statistically significantly associated with influenza vaccination but not with pneumococcal pneumonia vaccination. Supplemental insurance status, HMO enrollment, having a usual source of care, and being satisfied with access to care were positively associated with immunization.
CONCLUSIONS
Strategies that may improve immunization rates among elderly. Hispanics include reducing the inconvenience of being immunized, decreasing out-of-pocket costs, linking beneficiaries with providers, and educating Hispanic beneficiaries in Spanish about the benefits of vaccinations.
目的
本研究调查了老年西班牙裔医疗保险受益人与其他医疗保险受益人在肺炎球菌肺炎和流感疫苗接种概率上的差异。
方法
我们使用1992年全国医疗保险当前受益人调查来评估流感和肺炎球菌肺炎的疫苗接种率。
结果
在过去一年中，老年西班牙裔医疗保险受益人比非西班牙裔白人医疗保险受益人接种流感疫苗的可能性更小，也更少接种过肺炎球菌肺炎疫苗。讲西班牙语与流感疫苗接种在统计学上有显著关联，但与肺炎球菌肺炎疫苗接种无关。补充保险状况、加入健康维护组织（HMO）、有固定的医疗服务来源以及对获得医疗服务感到满意与疫苗接种呈正相关。
结论
可能提高老年西班牙裔人群疫苗接种率的策略包括减少接种疫苗的不便、降低自付费用、将受益人与医疗服务提供者联系起来，以及用西班牙语向西班牙裔受益人宣传疫苗接种的益处。
Zotero 插件