Millar J S, Scheffler S A, Murray C K, Bratzler D W
Oklahoma Foundation for Medical Quality, Oklahoma City, Okla. 73118-7472, USA.
J Okla State Med Assoc. 1998 Dec;91(9):509-13.
The Health Care Financing Administration has reported influenza immunization rates since 1994. The Department of Health and Human Services has set a minimum national target rate for the annual immunization of the elderly population at 60 percent, as published in Healthy People 2000. The Oklahoma Foundation for Medical Quality analyzed the Medicare claims data for Oklahoma for the 1995, 1996, and 1997 influenza seasons. Additionally, we reviewed the Behavioral Risk Factor Surveillance System influenza immunization data for 1995. Claims data for the 1997 influenza season show the immunization rate for the Medicare population of Oklahoma is 41.4 percent. The immunization rate for the African-American Medicare population was 22.3 percent for 1997, compared with 42.2 percent for the Caucasian population. The ten most populous counties in the state had a 9-percent higher rate of immunization than the other 67 counties. The Medicare population in Oklahoma is not receiving the influenza vaccination at the target rate. Especially underserved are the African-American and non-urban populations. There appear to be opportunities for improvement in the provision of the influenza vaccination for the Medicare population of Oklahoma.
医疗保健财务管理局自1994年起开始报告流感疫苗接种率。美国卫生与公众服务部已设定全国老年人年度疫苗接种率的最低目标为60%，这一数据在《2000年健康人群》中公布。俄克拉荷马州医疗质量基金会分析了1995年、1996年和1997年流感季俄克拉荷马州医疗保险索赔数据。此外，我们还查阅了1995年行为危险因素监测系统的流感疫苗接种数据。1997年流感季的索赔数据显示，俄克拉荷马州医疗保险人群的疫苗接种率为41.4%。1997年，非裔美国医疗保险人群的疫苗接种率为22.3%，而白种人群的接种率为42.2%。该州人口最多的十个县的疫苗接种率比其他67个县高9%。俄克拉荷马州的医疗保险人群未达到流感疫苗接种的目标率。非裔美国人和非城市人群尤其得不到充分的服务。在为俄克拉荷马州医疗保险人群提供流感疫苗接种方面似乎有改进的空间。
