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A hospital-based influenza immunization program, 1977-78.

D S Fedson, H A Kessler

American Journal of Public Health

|April 1, 1983

Summary

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General Medicine units achieved higher influenza immunization rates than subspecialty units. Hospitalized patients, often seen in outpatient clinics, represent a high-risk group for targeted influenza vaccination programs.

Area of Science:

Public Health
Preventive Medicine
Epidemiology

Background:

Influenza poses a significant public health risk, particularly for hospitalized patients.
Identifying high-risk populations for influenza vaccination is crucial for effective immunization programs.
Previous hospital care is a potential indicator for identifying at-risk individuals.

Purpose of the Study:

To compare the effectiveness of influenza immunization programs across different hospital units.
To assess the utility of previous hospital care as a marker for identifying patients eligible for influenza vaccination.

Main Methods:

A comparative analysis of influenza immunization rates was conducted.
Data were collected from General Medicine inpatient and outpatient units and medical subspecialty units.

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Patient discharge and clinic visit histories were reviewed to identify high-risk individuals.

Main Results:

General Medicine units demonstrated a higher proportion of immunized patients compared to medical subspecialty units.
A substantial number of patients hospitalized for influenza and respiratory illnesses had recent prior hospitalizations or outpatient visits.
Previous hospital care emerged as a relevant indicator for identifying at-risk patients.

Conclusions:

Hospital-based influenza immunization programs are more effective when implemented broadly across general medicine services.
Leveraging previous hospital care data can enhance the identification of high-risk patients for influenza vaccination.
Organized, hospital-based immunization strategies can improve influenza vaccine uptake among vulnerable populations.