دورية أكاديمية
Promoting Adherence to Influenza Vaccination Recommendations in Pediatric Practice.
| العنوان: | Promoting Adherence to Influenza Vaccination Recommendations in Pediatric Practice. |
|---|---|
| المؤلفون: | Werk, Lloyd N., Diaz, Maria Carmen, Cadilla, Adriana, Franciosi, James P., Hossain, Jobayer |
| المصدر: | Aria Health Papers |
| بيانات النشر: | Jefferson Digital Commons |
| سنة النشر: | 2019 |
| المجموعة: | Jefferson Digital Commons (Thomas Jefferson University, Philadelphia) |
| مصطلحات موضوعية: | computerized clinical decision support, influenza vaccination, practice variation, quasi-experimental design, web-based training, Medicine and Health Sciences, Pediatrics, Primary Care |
| الوصف: | OBJECTIVES: In the United States, nonadherence to seasonal influenza vaccination guidelines for children and adolescents is common and results in unnecessary morbidity and mortality. We conducted a quality improvement project to improve vaccination rates and test effects of 2 interventions on vaccination guidelines adherence. METHODS: We conducted a cluster randomized control trial with 11 primary care practices (PRACTICE) that provided care for 11 293 individual children and adolescents in a children's health care system from September 2015 through April 2016. Practice sites (with their clinicians) were randomly assigned to 4 arms (no intervention [Control], computerized clinical decision support system [CCDSS], web-based training [WBT], or CCDSS and WBT [BOTH]). RESULTS: During the study, 55.8% of children and adolescents received influenza vaccination, which improved modestly during the study period compared with the prior influenza season ( P = .009). Actual adherence to recommendations, including dosing, timeliness, and avoidance of missed opportunities, was 46.4% of patients cared for by the PRACTICE. The WBT was most effective in promoting adherence with vaccination recommendations with an estimated average odds ratio = 1.26, P < .05, to compare between preintervention and intervention periods. Over the influenza season, there was a significantly increasing trend in odds ratio in the WBT arm ( P < .05). Encouraging process improvements and providing longitudinal feedback on monthly rate of vaccination sparked some practice changes but limited impact on outcomes. CONCLUSIONS: Web-based training at the start of influenza season with monthly reports of adherence can improve correct dose and timing of influenza vaccination with modest impact on overall vaccination rate. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| العلاقة: | https://jdc.jefferson.edu/ariafp/3Test; https://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1002&context=ariafpTest |
| الإتاحة: | https://jdc.jefferson.edu/ariafp/3Test https://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1002&context=ariafpTest |
| حقوق: | http://creativecommons.org/licenses/by-nc/4.0Test/ |
| رقم الانضمام: | edsbas.3C40DB16 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |