Influenza and pneumococcal vaccination in Canada and the United States, 1980-1993: what can the two countries learn from each other?
Influenza and pneumococcal vaccination in Canada and the United States, 1980-1993: what can the two countries learn from each other?
复制标题
加拿大和美国的流感和肺炎球菌疫苗接种，1980-1993 年：两国可以互相学习什么？
DOI：
10.1093/clinids/20.5.1371
复制
发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Fedson,DS
中科院分区：
文献类型：
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作者：
Fedson,DS
这项研究比较了1980-1993年期间加拿大和美国的流感和肺炎球菌疫苗接种情况。在加拿大，这一期间流感疫苗的年分发量从每千人33剂增加到146剂。省级卫生部门购买了所有分发剂量的80%-90%。在美国，从1981年到1990年，流感疫苗的年分发量为每1，000人70至102剂，但在接下来的3年中增加到每1，000人159剂。在整个研究期间，美国肺炎球菌疫苗的分布大大超过加拿大。尽管这两个国家对这些疫苗的使用提出了类似的建议，但疫苗接种实践却有所不同。在加拿大，流感疫苗接种而非肺炎球菌疫苗接种的成功似乎反映了公共部门积极参与疫苗购买和交付计划。在美国，最近流感和肺炎球菌疫苗的使用增加是在没有大量公共部门参与的情况下发生的，这可能反映了美国医疗实践的创业性质。
This study compares influenza and pneumococcal vaccination in Canada and the United States during the period 1980–1993. In Canada, the annual distribution of influenza vaccine during this period increased from 33 to 146 doses per 1,000 population. Provincial health departments purchased 80%–90% of all doses distributed. In the United States, annual distribution of influenza vaccine ranged from 70 to 102 doses per 1,000 population from 1981 to 1990 but increased to 159 doses per 1,000 population over the next 3 years. Throughout the study period, the distribution of pneumococcal vaccine in the United States greatly exceeded that in Canada. Despite similar recommendations regarding the use of these vaccines in the two countries, vaccination practices have differed. In Canada, success with influenza vaccination but not pneumococcal vaccination appears to reflect active public-sector involvement in programs for vaccine purchase and delivery. In the United States, the recent increase in the use of both influenza and pneumococcal vaccines has occurred in the absence of substantial public-sector involvement and may reflect the entrepreneurial nature of American medical practice.