A statewide system for improving influenza vaccination rates in hospital employees.
A statewide system for improving influenza vaccination rates in hospital employees.
复制标题
提高医院员工流感疫苗接种率的全州系统。
DOI：
10.1086/596780
复制
发表时间：
2009
影响因子：
4.5
通讯作者：
Helms,Charles
中科院分区：
文献类型：
--
作者：
Polgreen,PhilipM;Polgreen,LinneaA;Evans,Thomas;Helms,Charles
目的描述和报告一种由提供者发起的提高卫生保健工作者流感免疫接种率的方法的进展。DesignObservational研究。爱荷华州受试者：爱荷华州的急诊医院。方法各医院在两个流感季节（2006-2007年和2007-2008年）向以提供者为基础的协作机构报告员工流感疫苗接种率。研究了与较高疫苗接种率相关的医院特征。结果爱荷华州115家医院和/或卫生系统中有100家（87.0%）参与了第1季；个别医院接种率从43.5%到99.2%不等（平均72.4%，中位数73.1%）。在第二季，爱荷华州115家医院和/或卫生系统中的115家（100%）参与了调查。个别医院接种率从53.6%到100%不等（平均79.5%，中位数82.0%）。在这两个季节，城市和大型医院的疫苗接种率比其他地区的医院低6.3%至7.6%。在第二季，使用衰退声明的医院的流感疫苗接种率比未使用衰退声明的医院高12.6%。结论爱荷华州卫生保健工作者的初始接种率较高，特别是在较小的农村医院，并且在第二季接种率上升。我们描述的报告流感疫苗接种率的成功自愿方法为收集和传播其他全州医疗质量措施提供了一个有效的平台。
ObjectiveTo describe and report the progress of a provider-initiated approach to increase influenza immunization rates for healthcare workers.DesignObservational study.SettingThe State of Iowa.SubjectsAcute care hospitals in Iowa.MethodsHospitals reported rates of employee influenza vaccination to a provider-based collaborative during 2 influenza seasons (2006-2007 and 2007-2008). Hospital characteristics related to higher vaccination rates were examined.ResultsOne hundred (87.0%) of 115 Iowa hospitals and/or health systems participated in season 1; individual hospital vaccination rates ranged from 43.5% to 99.2% (mean, 72.4%; median, 73.1%). In season 2, 115 (100%) of 115 Iowa hospitals and/or health systems participated. Individual hospital vaccination rates ranged from 53.6% to 100% (mean, 79.5%; median, 82.0%). In both seasons, urban and large hospitals had vaccination rates that were 6.3% to 7.6% lower than those of hospitals in other locations. Hospitals that used declination statements had influenza vaccination rates 12.6% higher than hospitals that did not use declination statements in season 2.ConclusionThe initial vaccination rates were high for healthcare workers in Iowa, especially in smaller rural hospitals, and rates increased during season 2. The successful voluntary approach for reporting influenza vaccination rates that we describe provides an efficient platform for collecting and disseminating other statewide measures of healthcare quality.