首页> 外文期刊>Journal of public health management and practice: JPHMP >Rules and tools that improved vaccines for children vaccine-ordering practices in Oregon: A 2010 pilot project
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Rules and tools that improved vaccines for children vaccine-ordering practices in Oregon: A 2010 pilot project

机译:改善俄勒冈州儿童疫苗订购做法疫苗的规则和工具:2010年试点项目

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Objective: This project's objective was to enhance efforts to improve vaccine-ordering efficiencies among targeted clinics using publicly purchased vaccines. Design: Using an assessment of ordering behavior developed by the Centers for Disease Control and Prevention, we selected and trained immunization providers and assessed improvements in ordering behavior by comparing ordering patterns before and after the intervention. Setting: A total of 144 Vaccines for Children program providers in Oregon. Participants: We assessed 144 providers trained in the Economic Order Quantity process between January and November 2010. Intervention (if applicable): Providers were invited to participate in regional trainings. Trainings included assignment of ordering frequency and dissemination of tools to support adherence to the recommended ordering frequency. Main Outcome Measure(s): The percent increase in targeted clinics ordering according to recommended order frequency and the resulting decrease in orders placed, as an outcome of training and ordering tools. Results: Only 35% of targeted providers were ordering according to the recommended ordering frequency before the project began. After completing training, utilizing ordering tools and ordering over a 7-month period, 78% of the targeted clinics were ordering according to the recommended frequency, a 120% increase in the number of clinics ordering with the recommended frequency. At baseline, targeted clinics placed 915 total vaccine orders over a 7-month period. After completing training and participating in the Economic Order Quantity process, only 645 orders were placed, a reduction of 30% . Conclusions: The initiative was successful in reducing the number of orders placed by Vaccines for Children providers in Oregon. A previous effort to reduce ordering, without the use of training or tools, did not achieve the same levels of provider compliance, suggesting that the addition of staff and development of tools were helpful in supporting behavior change and improving providers' ability to adhere to assigned order frequencies. Reducing order frequency results in more efficient vaccine ordering patterns and benefits vaccine distributors, Oregon Immunization Program staff, and provider staff.
机译:目的:该项目的目的是加强努力,以使用公共购买的疫苗来提高目标诊所的疫苗订购效率。设计:使用疾病控制和预防中心开发的对订购行为的评估,我们选择并培训了免疫提供者,并通过比较干预前后的订购模式来评估订购行为的改善。地点:俄勒冈州,共有144种儿童疫苗计划提供商。参与者:我们评估了144名在2010年1月至11月之间接受经济订单数量流程培训的提供者。干预(如果适用):邀请提供者参加区域培训。培训包括分配订购频率和分发工具以支持遵守建议的订购频率。主要指标:根据培训的订购工具,根据建议的订购频率增加定向诊所订购的百分比,并减少所下的订单。结果:在项目开始之前,只有35%的目标供应商根据建议的订购频率订购。在完成培训,使用订购工具并在7个月的时间内订购后,有78%的目标诊所正在按照建议的频率订购,以推荐频率订购的诊所数量增加了120%。基线时,目标诊所在7个月内总共订购了915张疫苗。在完成培训并参与了“经济订单数量”处理后,仅下了645个订单,减少了30%。结论:该倡议成功地减少了俄勒冈州儿童疫苗供应商的订购数量。以前在不使用培训或工具的情况下减少订购的努力并未达到相同水平的提供者合规性,这表明增加人员和开发工具有助于支持行为改变和提高提供者遵守指定任务的能力。订单频率。减少订购频率可提高疫苗订购效率,并使疫苗分销商,俄勒冈州免疫计划人员和提供人员受益。

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