全国范围的数字多学科干预旨在促进免疫功能低下患者的肺炎球菌疫苗接种
Shirley Shapiro Ben David1,2, Orna Shamai-Lubovitz1, Vered Mourad1
1Health Division, Maccabi Healthcare Services, Tel Aviv 6812509, Israel.
Vaccines
|August 26, 2023
概括
自动警报显著提高了免疫功能低下患者的肺炎球菌疫苗接种率,PCV13覆盖率从11.9%增加到52%,PPSV23覆盖率从39.4%增加到57.1%. 这一战略提高了大型医疗机构的疫苗接种率.
科学领域:
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 免疫受损患者 (IPs) 面临疫苗可预防感染的风险增加.
- 肺炎球菌疫苗接种覆盖率在IP中仍然不够理想,尽管对PCV13和PPSV23.3提出了建议.
研究的目的:
- 评估自动化系统在提高IPs中的肺炎球菌疫苗接种率方面的有效性.
- 评估个性化电子健康记录警报对临床医生和患者疫苗接种行动的影响.
主要方法:
- 开发和验证一个自动化的,基于人口的IP注册表.
- 在患者接触期间实施临床医生面向疫苗接种提醒的警报.
- 通过电子健康记录传递的接种疫苗的患者邀请.
主要成果:
- 在32,637个试验期 (p < 0.0001) 中,PCV13疫苗接种率从11.9%增加到52%.
- 接种PPSV23疫苗的比例从39.4%上升到57.1% (p < 0.0001).
- 干预表明肺炎球菌疫苗接种量显著增加.
结论:
- 有针对性的,自动化的警报有效地提高了免疫受损人群中肺炎球菌疫苗接种率.
- 这种方法提供了一个可扩展的模型,用于改善大型医疗机构的疫苗接种覆盖率.
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