Abstract:
BACKGROUND:The objective of this study was to understand better the status of and ways to improve dissemination of influenza and pneumococcal standing-order vaccination policies to at-risk adults in health care institutions. METHODS:A statewide sample of 5 different types of institutions serving at-risk elderly persons in North Carolina was surveyed. A 45-question telephone survey was administered to infection control nurses or facility directors at 267 (86% response rate) health care facilities involved in direct patient care. RESULTS:A majority of respondents reported that influenza (81%) and pneumococcal (59%) diseases were important to their facility, and 63% stated that the influenza vaccine was very effective versus 47% for pneumococcal. Except nursing homes, few facilities reported adoption of standing-order policies to vaccinate routinely the at-risk adults. Over 70% of respondents stated that their facilities might consider adopting standing-order policies for influenza and pneumococcal disease. A majority of respondents also supported a state law that requires such vaccines for high-risk patients unless contraindicated or the patient refuses. CONCLUSIONS:Respondents across diverse health care institutions appear interested in adopting standing-order policies to increase influenza and pneumococcal vaccination rates and are more likely to do so if provided with appropriate administrative and/or financial support for implementation.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Goldstein AO,Kincade JE,Resnick JE,Gamble G,Bearman RSdoi
10.1016/j.ajic.2005.01.008subject
Has Abstractpub_date
2005-10-01 00:00:00pages
463-8issue
8eissn
0196-6553issn
1527-3296pii
S0196-6553(05)00165-3journal_volume
33pub_type
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journal_title:American journal of infection control
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journal_title:American journal of infection control
pub_type: 临床试验,杂志文章
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pub_type: 杂志文章
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