门诊护理强度和流感疫苗接种:来自德国的证据
D Gensorowsky1, B Surmann1, A C Meyer2
1Vandage GmbH, Bielefeld, Germany.
Vaccine
|December 3, 2025
概括
德国的流感疫苗接种率仍然很低,特别是在60岁以上的成年人中. 增加与医生的接触和参与护理计划与更高的疫苗接种率相关,但许多患有慢性疾病的未接种疫苗的人经常去看医生.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健管理的管理
背景情况:
- 德国公共卫生当局建议季节性流感疫苗接种,但疫苗覆盖率 (VCRs) 低于目标水平.
- 这项研究调查了成年人推接种流感疫苗的VCR缺口,重点关注门诊护理强度.
研究的目的:
- 分析2016-2017年至2022-2023年德国成年人口中的流感视频录像机.
- 确定影响视频录像机的因素,包括年龄,慢性疾病,参与疾病管理计划 (DMP),全科医生中心的护理和医生联系频率.
主要方法:
- 使用德国法定医疗保险索赔数据库进行的回顾性研究.
- 检查季节性视频录像机,按年龄,慢性疾病,DMP/GP中心护理参与以及疫苗接种期间 (9月至2月) 医生接触频率分层.
主要成果:
- 60岁以上的个人视频录像机在不同季节的范围从34.8%到47.0%.
- 在患有慢性疾病的个体,在全科医生集中护理的个体和在5个DMP中的4个参与者中观察到更高的VCR.
- 视频录像机随着医生接触频率的增加而增加;然而,大多数患有慢性疾病的未接种疫苗的人经常与GP接触.
结论:
- 在所有研究小组中,流感视频录像机仍然低于最佳水平.
- 门诊护理的强度,特别是通过DMP和GP为中心的护理,对于疫苗接种的成功至关重要.
- 医疗保健提供者必须定期评估并与患者讨论疫苗接种情况,特别是未接种疫苗的慢性病患者,他们经常与医疗保健互动.
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