Increasing influenza and pneumococcal vaccination and tuberculosis screening among residents of Colorado long-term care facilities

作     者：Schluter, WW Ralston, DL Delaney, RJ Sauaia, A Dunn, TR 

作者机构：Colorado Fdn Med Care Denver CO 80217 USA 

出 版 物：《EVALUATION & THE HEALTH PROFESSIONS》 (Eval. Health Prof.)

年 卷 期：1999年第22卷第4期

页      面：466-483页

核心收录：

学科分类：1204[管理学-公共管理] 10[医学] 

主　　题：科罗拉多 卫生人员/教育 流感 人/预防和控制 在职培训/组织和管理 普查/方法 肺炎球菌感染/预防和控制 方案评价 质量指标 卫生保健/组织和管理 技术性护理设施 全面质量管理/组织和管理 结核/预防和控制 接种/方法 人类 

摘      要：Persons residing in long-term care facilities are especially vulnerable to potentially preventable morbidity and mortality caused by influenza S. pneumoniae, and tuberculosis. This project s objective was to increase the rates of pneumococcal vaccination, tuberculosis screening, and annual influenza vaccination. intervention consisted of staff training videos, sample policies, and educational materials for residents and their families. At baseline during the 1995-1996 flu season, 84% of Colorado long-term care residents were vaccinated for influenza;16% of residents had ever received pneumococcal vaccination;and 59% had been screened for tuberculosis. At remeasurement during 1997 to 1998, influenza vaccination rates were up to 89%, p = 0.006. The percentage of residents who had ever received pneumococcal vaccination increased to 48% at remeasurement, p 0.001. Tuberculosis screening rates increased to 83%, p 0.001. Following an educational intervention targeting both residents and staff residents were significantly more likely to receive all three preventive services.