Evaluation of a Legislatively Mandated Influenza Vaccination Program for Adults in Rhode Island, USA
Evaluation of a Legislatively Mandated Influenza Vaccination Program for Adults in Rhode Island, USA
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DOI：
10.1097/phh.0b013e3181c60ed4
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发表时间：
2010-09-01
影响因子：
3.3
通讯作者：
Lindley, Megan C.
中科院分区：
文献类型：
--
作者：
Ahmed, Faruque;Paine, Virginia;Lindley, Megan C.
背景：在2000-2001年、2001-2002年、2004-2005年和2005-2006年流感季节，美国出现了流感疫苗供应中断。一些供应商收到的疫苗有限或没有，而其他供应商则获得了全部订单，这取决于向谁下订单。通过了一项州法律，要求罗德岛州卫生部将成人流感疫苗的购买和分发纳入其免疫计划。目的：评价前两年的全国成人流感免疫接种计划。设计：我们在2008年对25家供应商进行了关键信息提供者访谈，并在2008年（第一年）和2009年（第二年）对所有注册的供应商进行了调查。环境：罗德岛州。参与者：向成人提供流感疫苗接种的医生和机构，包括私人诊所、养老院、卫生中心、紧急护理机构、医院、大规模免疫接种机构和企业。干预措施：登记的提供者免费接种流感疫苗，并向保险公司、医疗保险和医疗补助支付疫苗管理费用。主要结果测量：提供者对不同项目组成部分的满意度和总体满意度。结果：在第一年，对登记、培训、疫苗订购和疫苗运输的满意度高于对文书工作和索赔的满意度。在接受调查的受访者中，71%的人表示该计划的文书工作是合理的，30%的人表示在收到报销方面存在困难。对2007年10月17日开始接种疫苗的满意度为80%。总体满意度很高（94%）。为简化报告要求并将第2年的开始日期提前至2008年10月7日，对文书工作（89%）和疫苗接种开始日期（90%）的满意度显著提高。结论：研究结果可能有助于指导疫苗接种计划的发展，以便在州或国家层面为成人提供流感和其他疫苗。
Context: There have been disruptions in influenza vaccine supply in the United States during the 2000-2001, 2001-2002, 2004-2005, and 2005-2006 influenza seasons. Some providers received limited or no vaccine, while others obtained their order in full, depending on with whom the order was placed. A state law was passed that mandates the Rhode Island Department of Health to include the purchase and distribution of influenza vaccine for adults in its immunization program. Objective: To evaluate the first 2 years of the statewide adult influenza immunization program. Design: We conducted key informant interviews of 25 providers in 2008 and surveyed all enrolled providers in 2008 (year 1) and 2009 (year 2). Setting: State of Rhode Island. Participants: Physician practices and facilities that provide influenza vaccination to adults, including private practices, nursing homes, health centers, urgent care facilities, hospitals, mass immunizers, and businesses. Intervention: Enrolled providers received influenza vaccines free and billed insurers, Medicare, and Medicaid for vaccine administration costs. Main Outcome Measures: Provider satisfaction with different program components and overall satisfaction. Results: For year 1, there was higher satisfaction with enrollment, training, vaccine ordering, and vaccine shipment than with paperwork and claims. Of the survey respondents, 71% reported that the program paperwork was reasonable and 30% reported difficulties in receiving reimbursement. Satisfaction with the vaccination start date of October 17, 2007, was 80%. There was high overall satisfaction (94%). In response to streamlining of reporting requirements and setting an earlier start date of October 7, 2008, for year 2, there was a significant increase in satisfaction with paperwork (89%) and with vaccination start date (90%). Conclusions: The findings may be useful in guiding the development of vaccination programs to provide influenza and other vaccines for adults at the state or national level.