COVID-19 Vaccination Drive in a Low-Volume Primary Care Clinic: Challenges & Lessons Learned in Using Homegrown Self-Scheduling Web-Based Mobile Platforms.
COVID-19 Vaccination Drive in a Low-Volume Primary Care Clinic: Challenges & Lessons Learned in Using Homegrown Self-Scheduling Web-Based Mobile Platforms.
复制标题
DOI：
10.3390/vaccines10071072
复制
发表时间：
2022-07-03
期刊：
影响因子：
7.8
通讯作者：
Tripathi, Manish K.
中科院分区：
文献类型：
--
作者：
Agarwal, Reita N.;Aggarwal, Rajesh;Nandarapu, Pridhviraj;Aggarwal, Hersheth;Verma, Ashmit;Haque, Absarul;Tripathi, Manish K.
背景：新奇的冠状病毒病2019年(新冠肺炎)让全人类遭受了可怕的后果。世界基础人群的疫苗接种被认为是实现群体免疫的最有希望和最具挑战性的方法。随着医疗机构承担起为整个美国人口接种疫苗的广泛任务，数字健康公司扩大了他们的自动化健康平台，以帮助减轻大规模接种的行政负担。虽然一些软件公司向大型组织提供免费应用程序，但对于Good Health Associates Clinic(GHAC)等小型诊所来说，将新的自我调度软件集成和实施到我们的电子临床工作(ECW)电子健康记录(EHR)中的成本高昂。这些成本负担导致搜索超越了现有技术，并投资于新的解决方案，使其更容易、更高效、更具成本效益和更具可扩展性。目的：与商业实体相比，初级保健诊所(PCCs)的优势在于，由于其患者与PCC团队之间的良好关系，他们可以通过个性化的连续性临床护理来吸引人群接种疫苗。为了支持预防新冠肺炎感染和恢复公共卫生的整体全国运动，GHAC希望使其患者和所服务的社区能够获得新冠肺炎疫苗接种。我们的目标是通过我们的小型初级保健诊所，通过开发和使用一个易于实施、具有成本效益的自我注册和调度基于网络的移动平台，并遵循C.D.S.五权原则，在我们的社区实现协调一致的新冠肺炎疫苗接种活动。结果：总体而言，2021年4-7月期间，使用我们开发的自我注册和调度门户网站和短信移动平台的现代疫苗接种活动提高了疫苗接种率(51%)，而我们镇、县和州的疫苗接种率(36%)和州(39%)相比。结论：根据我们在此次新冠肺炎疫苗接种活动中的经验，我们得出结论，PCC作为“无价的勇士”，加上政府和媒体提供的教育，在动员患者接种疫苗方面具有重要的影响力；这导致国家预防性健康在我们的人口中传播，并减少与急性疾病和住院相关的费用。在成本效益方面，小型PCC值得政府资助和激励，包括强制EHR供应商提供免费(或最低费用)的患者自我登记和日程安排软件，以改善疫苗接种活动。因此，改善在PCC环境中获得个性化信息连续性临床护理的机会是加快类似的患者疫苗采用成本效益活动的“关键环节”。
Background: The whole of humanity has suffered dire consequences related to the novel coronavirus disease 2019 (COVID-19). Vaccination of the world base population is considered the most promising and challenging approach to achieving herd immunity. As healthcare organizations took on the extensive task of vaccinating the entire U.S. population, digital health companies expanded their automated health platforms in order to help ease the administrative burdens of mass inoculation. Although some software companies offer free applications to large organizations, there are prohibitive costs for small clinics such as the Good Health Associates Clinic (GHAC) for integrating and implementing new self-scheduling software into our e-Clinical Works (ECW) Electronic Health Record (EHR). These cost burdens resulted in a search that extended beyond existing technology, and in investing in new solutions to make it easier, more efficient, more cost-effective, and more scalable. Objective: In comparison to commercial entities, primary care clinics (PCCs) have the advantage of engaging the population for vaccination through personalized continuity of clinical care due to good rapport between their patients and the PCC team. In order to support the overall national campaign to prevent COVID-19 infections and restore public health, the GHAC wanted to make COVID-19 vaccination accessible to its patients and to the communities it serves. We aimed to achieve a coordinated COVID-19 vaccination drive in our community through our small primary care clinic by developing and using an easily implementable, cost-effective self-registration and scheduling web-based mobile platform, using the principle of “C.D.S. Five Rights”. Results: Overall, the Moderna vaccination drive using our developed self-registration and scheduling web portal and SMS messaging mobile platform improved vaccination uptake (51%) compared to overall vaccination uptake in our town, county (36%), and state (39%) during April–July 2021. Conclusions: Based on our experience during this COVID-19 vaccination drive, we conclude that PCCs have significant leverage as “invaluable warriors”, along with government and media education available, to engage patients for vaccination uptake; this leads to national preventive health spread in our population, and reduces expenses related to acute illness and hospitalization. In terms of cost-effectiveness, small PCCs are worthy of government-sponsored funding and incentives, including mandating EHR vendors to provide free (or minimal fee) software for patient self-registration and scheduling, in order to improve vaccination drive access. Hence, improved access to personalized informative continuity of clinical care in the PCC setting is a “critical link” in accelerating similar cost-effective campaigns in patient vaccine uptake.
登录
查看更多内容
REDCAP移动应用程序：用于互联网稀缺区域或情况的研究的数据收集平台。
影响因子：
2.1
作者：
Harris PA;Delacqua G;Taylor R;Pearson S;Fernandez M;Duda SN
通讯作者：
Duda SN
影响因子：
1.7
作者：
Cutrona, Sarah L.;Sreedhara, Meera;Mazor, Kathleen M.
通讯作者：
Mazor, Kathleen M.
影响因子：
7.6
作者：
Bar-Shain, David S.;Stager, Margaret M.;Kaelber, David C.
通讯作者：
Kaelber, David C.
影响因子：
120.7
作者：
Stockwell, Melissa S.;Kharbanda, Elyse Olshen;Camargo, Stewin
通讯作者：
Camargo, Stewin
影响因子：
5.9
作者：
Hoffman, Beth L.;Boness, Cassandra L.;Sidani, Jaime E.
通讯作者：
Sidani, Jaime E.