Meeting the Challenges of Immunizing Adults
Meeting the Challenges of Immunizing Adults
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DOI：
10.1016/j.amepre.2015.08.014
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发表时间：
2015-12-01
影响因子：
5.5
通讯作者：
Groom, Amy V.
中科院分区：
文献类型：
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作者：
Bridges, Carolyn B.;Hurley, Laura P.;Groom, Amy V.
可获得疫苗的疾病的总体疾病负担不成比例地落在成年人身上。建议成年人根据他们的年龄、潜在的医疗条件、生活方式、以前接种过的疫苗和其他考虑因素来接种疫苗。美国疾病控制与预防中心的最新疫苗建议每年都会在美国成人免疫时间表上发表。美国成年人的疫苗使用量很低。尽管收到提供者(医生或其他疫苗接种保健提供者)的建议是接种疫苗的关键预测因素，但更多情况下，消费者报告在医疗保健提供者就诊时没有收到疫苗建议。尽管提供者支持接种疫苗的好处，但他们也报告了为成年人接种疫苗的几个障碍，包括提供疫苗服务的费用、疫苗和疫苗管理费用不足或不一致，以及急性医疗保健优先于预防服务。尽管有这些挑战，但已经证明了一些战略可以显著提高成人疫苗覆盖率，包括提醒患者和提供者以及疫苗接种的常备命令。鼓励提供者在所有临床会诊期间纳入对成年患者接种需求的例行评估，以确保患者得到所需疫苗的建议，并获得所需疫苗或转介接种。(C)2015年，由美国预防医学杂志和爱思唯尔有限公司出版。版权所有。
The overall burden of illness from diseases for which vaccines are available disproportionately falls on adults. Adults are recommended to receive vaccinations based on their age, underlying medical conditions, lifestyle, prior vaccinations, and other considerations. Updated vaccine recommendations from CDC are published annually in the U.S. Adult Immunization Schedule. Vaccine use among U.S. adults is low. Although receipt of a provider (physician or other vaccinating healthcare provider) recommendation is a key predictor of vaccination, more often consumers report not receiving vaccine recommendations at healthcare provider visits. Although providers support the benefits of vaccination, they also report several barriers to vaccinating adults, including the cost of providing vaccination services, inadequate or inconsistent payment for vaccines and vaccine administration, and acute medical care taking precedence over preventive services. Despite these challenges, a number of strategies have been demonstrated to substantially improve adult vaccine coverage, including patient and provider reminders and standing orders for vaccination. Providers are encouraged to incorporate routine assessment of their adult patients' vaccination needs during all clinical encounters to ensure patients receive recommendations for needed vaccines and are either offered needed vaccines or referred for vaccination. (C) 2015 by American Journal of Preventive Medicine and Elsevier Ltd. All rights reserved.