评估量身定制的质量改善干预措施,以改善悉尼住宅老年护理设施的疫苗接种覆盖率
Courtney McGregor1, Lauren Tillman1, Lisa Maude1
1South Eastern Sydney Local Health District Public Health Unit, Sydney, NSW 2031, Australia.
Vaccines
|February 26, 2026
概括
质量改善干预措施提高了老年护理人员的带状疹,肺炎球菌和流感疫苗接种率. 量身定制的战略有望改善澳大利亚各地的疫苗覆盖率.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 预防传染病 预防传染病
背景情况:
- 老年护理居民面临疫苗可预防疾病的高风险.
- 澳大利亚老年护理机构的COVID-19,流感,肺炎球菌和带状疹疫苗接种率低于最佳水平.
- 现有的计划还没有完全解决疫苗接种覆盖率的差距.
研究的目的:
- 评估量身定制的质量改善干预措施在提高老年护理居民疫苗接种覆盖率方面的有效性.
- 确定在老年护理机构内接种疫苗的障碍和促进因素.
- 评估具体干预措施对接种疫苗的同意,规划和跟踪的影响.
主要方法:
- 这项质量改进计划采用了准实验性的前后设计.
- 干预措施的重点是改进同意过程,疫苗接种计划和跟踪,根据先前的障碍/支持者评估.
- 接种疫苗覆盖率数据从澳大利亚免疫登记册 (AIR) 中提取了参与老年护理机构的居民在干预期之前和之后 (14个月间隔).
主要成果:
- 对于带状疹 (+23.4%),肺炎球菌 (+14.2%) 和流感 (+10.9%) 的疫苗接种覆盖率显著改善.
- 在6个月的报告间隔内,COVID-19覆盖率下降了7.4%.
- 过程评估揭示了数据差异,表明外部提供商报告不足,并强调了同意模板和疫苗接种追踪器的实用性.
结论:
- 质量改进计划成功提高了老年护理居民四种关键疫苗中的三种疫苗的覆盖率.
- 根据居民和医疗服务提供者的反,进行量身定制的干预措施对于提高疫苗接种率是有价值的.
- 这种可扩展的模型展示了在澳大利亚提高老年护理疫苗接种的更广泛应用的潜力.
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