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Impact on health departments after a seventh grade hepatitis B immunization requirement.

机译:七级乙肝疫苗接种要求后对卫生部门的影响。

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OBJECTIVES: This research was designed to evaluate the impact on health departments of the implementation of a 1999 policy requiring hepatitis B (HBV) vaccination for seventh grade school entry in the state of Missouri. METHODS: The authors employed a retrospective descriptive design using data from the Missouri Health Strategic Architectures and Information Cooperative (MOHSAIC) system. They based their assessment of the impact of the new policy on six outcome variables: total immunizations administered, HBV immunizations administered, HBV immunizations given to children ages 10 to 14, percentage of total immunizations that were HBV, percentage of total HBV immunizations that were given to children ages 10 to 14, and percentage of total immunizations that were HBV given to children ages 10 to 14. Outcome variables from the months of July through September 1998 were compared to similar data from the same period in 1999. RESULTS: Statewide, there was a significant increase in all outcome variables. Health departments in non-rural settings, however, did not have a significant increase in total immunizations (t = -1.49, p = 0.158). The number of HBV immunizations did increase at health departments where alternative strategies (e.g., school-based programs) were used, but the increase was not as dramatic as for sites where no such strategies were employed. CONCLUSIONS: Implementation of a state policy requiring additional immunizations can be expected to have a significant impact on the resources of health departments statewide. The use of alternative strategies for managing immunizations outside the traditional health department setting can limit that impact.
机译:目的:本研究旨在评估密苏里州1999年实施乙级肝炎疫苗接种政策对卫生部门的影响。方法:作者采用来自密苏里州卫生战略架构和信息合作社(MOHSAIC)系统的数据进行回顾性描述设计。他们评估了新政策对六个结果变量的影响:已实施的总免疫,已进行的HBV免疫,10至14岁儿童的HBV免疫,总的HBV免疫百分比,已获得的HBV免疫总数10至14岁儿童的免疫接种率,以及10至14岁儿童的HBV免疫接种总数的百分比。将1999年7月至1998年9月的结果变量与1999年同期的相似数据进行了比较。所有结果变量均显着增加。但是,非农村地区的卫生部门的总免疫接种率并未显着增加(t = -1.49,p = 0.158)。在使用替代策略(例如,基于学校的计划)的卫生部门中,HBV免疫接种的确增加了,但是增加的幅度不如未采用此类策略的场所那么大。结论:预计需要额外免疫的国家政策的实施将对全州卫生部门的资源产生重大影响。在传统卫生部门之外使用替代策略来管理免疫接种可以限制这种影响。

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