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首页> 外文期刊>Journal of asthma & allergy educators. >Increasing the Rate of Influenza Vaccination in Children With Asthma Using a Clinic Staff and Provider Educational Intervention
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Increasing the Rate of Influenza Vaccination in Children With Asthma Using a Clinic Staff and Provider Educational Intervention

机译：使用诊所工作人员和提供者教育干预措施提高哮喘儿童的流感疫苗接种率

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Objective. The purpose of this quality improvement study was to evaluate how the use of an educational intervention aimed at staff and providers at apediatric primary care clinic compared with no intervention would affect influenza vaccination rates over a 3-month period during the prime vaccination season. Methods. A retrospective-descriptive design was used. Billing records were evaluated for an asthma-related diagnosis and for receipt of an influenza vaccine from September 10 through December 10 in 2011 and 2012. Results. In 2011, 1814 pediatric patients visited the clinic, and 6% (n = 109) had a billable asthma-related diagnosis. In 2012, 1723 pediatric patients visited the clinic, with 5% (n = 92) with asthma. In 2011, 69% (n = 75) of children with asthma received an influenza vaccine, and 56 (75%) received the vaccine at a shot-only flu clinic. In 2012, 70% (n = 64) of children with asthma were vaccinated, 41 (64%) at a shot-only flu clinic. In 2011, 43 (44%) children with asthma presented to the clinic for an illness-related visit, and 9 (21%) were vaccinated. In 2012, 48 (52%) children with asthma presented for an illness-related visit, and 20 (42%) received a vaccine. The change in proportion of children with asthma vaccinated at an illness-related visit did not reach statistical significance (P = .058). In 2011, 50% (n = 912) of the total clinic population received an influenza vaccine. In 2012, 57% (n- 981) received an influenza vaccine. The difference in the proportion of the total clinic population vaccinated was found to be statistically significant (P < .001). Conclusions. Despite staff education, there were no statistically significant differences in influenza vaccination rates in children with asthma. Perhaps a multi-intewentional approach would be more effective in increasing the vaccination rates in this high-risk group.
机译：目的。这项质量改进研究的目的是评估针对主要儿科诊所的工作人员和提供者的教育干预措施与无干预措施相比，在原始疫苗接种季节的三个月内如何影响流感疫苗接种率。方法。使用回顾性描述设计。在2011年和2012年9月10日至12月10日，对帐单记录进行了哮喘相关诊断和流感疫苗的接受评估。结果。 2011年，共有1814名儿科患者就诊，其中6％（n = 109）的患者可诊断为哮喘相关疾病。 2012年，有1723名儿科患者就诊，其中5％（n = 92）患有哮喘。 2011年，有69％（n = 75）的哮喘儿童接种了流感疫苗，而56（75％）的儿童仅在一次注射流感诊所就接种了流感疫苗。在2012年，有70％（n = 64）的哮喘儿童接受了疫苗接种，其中41％（64％）在仅注射流感的诊所接受了疫苗接种。 2011年，有43名（44％）哮喘儿童到诊所就诊与疾病相关，并且有9名（21％）接种了疫苗。在2012年，有48名（52％）哮喘患儿因疾病而就诊，有20名（42％）接种了疫苗。在疾病相关访视中接种疫苗的哮喘儿童比例的变化没有统计学意义（P = .058）。 2011年，诊所总人数中有50％（n = 912）接种了流感疫苗。 2012年，有57％（n-981）接种了流感疫苗。发现在总的疫苗接种人群中所占比例的差异具有统计学意义（P <.001）。结论。尽管进行了职员教育，但哮喘儿童的流感疫苗接种率没有统计学上的显着差异。在这种高风险人群中，采用多种方法可能会更有效地提高疫苗接种率。

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