Document Detail


Increasing the pneumococcal vaccination rate of elderly patients in a general internal medicine clinic.
MedLine Citation:
PMID:  3973336     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To improve the pneumococcal vaccination status of an elderly patients group, those older than 64 years of age were identified from a computer file of all continuing care patients in a general internal medicine clinic. In a randomly chosen study group (N = 163), 91 elderly patients (56 per cent) had received the pneumococcal vaccine. Factors associated with a higher rate of pneumococcal vaccination included receiving the previous year's influenza vaccine, a medical problem list attached to the patient's chart, active clinic status (i.e., seen in the year before the study began), and more than two problems listed in the computer record. Letters encouraging pneumococcal vaccination were then sent to patients who had not been vaccinated. Twenty of 72 patients (28 per cent) who received the letter were vaccinated during the next year; 8 per cent of control patients (three of 39) who did not receive the letter were vaccinated. The 95 per cent confidence limit for the relative difference between the study and control group is 6 to 53 per cent. The relative difference was also significant for influenza vaccination between the intervention group and the portion of the control group that had not been vaccinated at the first chart review. Factors associated with pneumococcal vaccination rate following the mailing of the reminder letter were active clinic status and being up to date for either influenza or tetanus vaccination.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
M J Siebers; V B Hunt
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  33     ISSN:  0002-8614     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  1985 Mar 
Date Detail:
Created Date:  1985-04-18     Completed Date:  1985-04-18     Revised Date:  2008-03-10    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  175-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Bacterial Vaccines / therapeutic use*
Humans
Influenza Vaccines / therapeutic use
Patient Compliance
Research Design
Streptococcus pneumoniae / immunology*
Tetanus Toxoid / therapeutic use
Vaccination / utilization
Wisconsin
Chemical
Reg. No./Substance:
0/Bacterial Vaccines; 0/Influenza Vaccines; 0/Tetanus Toxoid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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