通过使用临床决策支持系统,在初级和中等保健中实现流感疫苗接种的综合途径:模型定义和预测性影响分析
Maria Lucia Specchia1,2, Flavia Beccia1, Maria Gabriella Cacciuttolo1
1Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
European journal of public health
|September 16, 2024
概括
在意大利,改善老年人 (≥65岁) 的流感疫苗接种非常重要. 一个集成的数字通道可以提高覆盖率,减少病例和住院治疗,节省成本.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 流感对公众健康造成重大负担.
- 意大利面临的挑战是,65岁及以上人群流感疫苗接种率低.
- 现有的疫苗接种途径需要改进,以提高这一群体的接种率.
研究的目的:
- 设计一个综合医疗保健途径,以增加65岁及以上人群的流感疫苗接种覆盖率.
- 利用数字临床决策支持系统 (CDSS) 进行患者招募和疫苗接种.
- 估计拟议的综合途径的潜在流行病学和经济影响.
主要方法:
- 该研究包括两个阶段:开发综合途径和CDSS,并估计其在拉齐奥地区实施的影响.
- 模型被用来预测疫苗接种覆盖率增加对流感病例,住院和门诊访问的影响.
- 进行了经济分析,以确定潜在的成本节约.
主要成果:
- 在拉齐奥地区65岁以上人口中,疫苗接种率增加5% (从60%增加到65%),可能导致流感病例,住院和门诊病例减少8%.
- 这种增加的覆盖率预计将为住院和门诊访问节省高达11.85%的费用.
- 实现70%的疫苗接种覆盖率可以使这些积极影响翻倍.
结论:
- 由CDSS支持的拟议的综合途径提供了一个有前途的策略,以提高老年人流感疫苗接种范围.
- 这种方法显示出降低流感相关发病率和医疗保健成本的巨大潜力.
- 该方法提供了一个可扩展和可转移的模型,用于提高国内和国际接种率.
相关概念视频
01:11Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K
01:20Integrated Healthcare System
1.5K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.5K
01:27Nursing Clinical Information System
759
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
759
01:30Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
01:26Principles of Disease Surveillance
77
Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
77
01:21Tertiary Healthcare System
1.7K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.7K