一项质量改进倡议,以利用从2019年新冠肺炎大流行中学到的经验,改变季节性免疫接种过程
Eric D Robinette1, Pamela M Nelly2, Laurie J Engler2
1From the Department of Pediatrics, Akron Children's Hospital, Akron, Ohio.
Pediatric quality & safety
|February 12, 2024
概括
在COVID-19大流行期间,医疗保健系统调整了大规模免疫接种过程,提高了流感疫苗的效率,但并没有增加给药率. 这些变化增强了疫苗输送模式.
科学领域:
- 医疗保健系统 医疗保健系统
- 免疫接种实践的做法
- 公共卫生 公共卫生
背景情况:
- 每年的流感疫苗需求给医疗保健系统带来了挑战,与传统的护理模式不同.
- 随着COVID-19大流行,需求和感染风险增加,需要新的和改进的免疫程序.
- 为了适应大规模疫苗接种事件的流行病驱动的激增,需要在医疗保健服务中进行创新.
研究的目的:
- 为了安全地满足COVID-19大流行期间疫苗接种需求的激增.
- 将流行病驱动的创新纳入常规免疫实践,以提高未来的效率.
- 评估适应群体免疫流程对疫苗接种的影响.
主要方法:
- 利用改善模型框架指导流程适应.
- 实施了针对COVID-19疫苗接种的新大规模免疫策略.
- 在随后的流感季节应用了改进的免疫程序.
主要成果:
- 交付了8.7万个COVID-19疫苗,其中超过50%是通过新的大规模免疫程序进行的.
- 在儿科授权之前,已给37000名成年人接种了COVID-19疫苗.
- 在2021-2022赛季22%的流感疫苗中使用了新的/改进的工艺.
结论:
- 针对COVID-19疫苗接种的流行病驱动的适应措施显著提高了流感疫苗接种过程的效率.
- 尽管效率有所提高,但该研究没有观察到整体流感疫苗接种率的明显增加.
- 这项研究强调了通过大流行驱动的适应来改善大规模疫苗接种运动的过程潜力.
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