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Are standing order programs associated with influenza vaccination? - NNHS, 2004
Barbara H Bardenheier1, Abigail M Shefer, Peng-Jun Lu
1Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. bfb7@cdc.gov
Standing order programs (SOPs) in nursing homes significantly increase influenza vaccination coverage among elderly residents. Implementing SOPs is key to improving immunization rates in long-term care facilities.
Area of Science:
- Gerontology
- Public Health
- Epidemiology
Background:
- Influenza vaccination coverage in nursing home residents remains suboptimal, failing to meet Healthy People objectives.
- Long-term care facilities face challenges in achieving high vaccination rates.
Purpose of the Study:
- To investigate the association between standing order programs (SOPs) and influenza vaccination coverage in long-term care facilities.
- To determine if SOPs improve immunization rates among elderly residents.
Main Methods:
- Cross-sectional analysis of the 2004 National Nursing Home Survey.
- Inclusion of 1152 US long-term care facilities and 11,939 residents aged 65+.
- Multinomial logistic regression to assess the impact of SOPs on vaccination coverage, adjusted for confounders.
Main Results:
- Residents in facilities with SOPs achieved 68% influenza vaccination coverage, compared to 59%-63% in facilities without SOPs.
- SOPs were independently associated with higher vaccination coverage (66.7% vs. 62.0%, P < .01).
- 41% of residents were in facilities utilizing SOPs.
Conclusions:
- Standing order programs are linked to increased influenza immunization rates for nursing home residents.
- Further research is needed to promote the adoption and implementation of SOPs in long-term care settings.
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