Prevent and Protect: A Vaccination Initiative for Uninsured Patients at a Student-Run Free Clinic.

Autor: Abuelenen T; USF Health Morsani College of Medicine, 546 Channelside Dr., Tampa, FL, 33602, USA., Khalil S; USF Health Morsani College of Medicine, 546 Channelside Dr., Tampa, FL, 33602, USA. Sabrinak@usf.edu., Simoneit E; USF Health Morsani College of Medicine, 546 Channelside Dr., Tampa, FL, 33602, USA., Palakurty SH; USF Health Morsani College of Medicine, 546 Channelside Dr., Tampa, FL, 33602, USA., Hatch LA; USF Health Morsani College of Medicine, 546 Channelside Dr., Tampa, FL, 33602, USA., Radisic A; USF Health Morsani College of Medicine, 546 Channelside Dr., Tampa, FL, 33602, USA., Roetzheim R; Department of Family Medicine, University of South Florida, 13330 USF Laurel Dr., Tampa, FL, 33612, USA., Guerra L; Department of Internal Medicine, University of South Florida, 13330 USF Laurel Dr., Tampa, FL, 33612, USA., Gonzalez E; Department of Family Medicine, University of South Florida, 13330 USF Laurel Dr., Tampa, FL, 33612, USA.
Jazyk: angličtina
Zdroj: Journal of community health [J Community Health] 2020 Oct; Vol. 45 (5), pp. 910-915.
DOI: 10.1007/s10900-020-00808-w
Abstrakt: Lower vaccination rates in uninsured adults may be related to prohibitive costs of and limited access to vaccines. To compare Tdap and pneumococcal vaccination rates of a student-run free clinic to national averages. A retrospective chart review of 236 adult patients from 05/2017 to 06/2019 was conducted. Vaccine eligibility was determined according to CDC guidelines at the time of the patient visit and according vaccination history by review of medical records. Percent up-to-date was determined by dividing the number of up-to-date individuals by the total number of patients eligible for the vaccine. BRIDGE Healthcare Clinic vaccination rates were near or surpassed national averages. The percent of up-to-date individuals was 63.1% for Tdap, 90% for pneumococcal vaccines in adults 65 or older, and 86.5% for pneumococcal vaccines in high-risk adults 18-64 years. This compares with 2017 national averages of 63.4%, 69%, and 24.5%, respectively (Center for Disease Control and Prevention (CDC) Vaccination coverage among adults in the United States, National Health Interview Survey. Retrieved February 8, 2018 from https://www.cdc.gov/vaccines/imz-managers/coverage/adultvaxview/pubs-resources/NHIS-2017.html#pneumo , 2017). Of the 197 vaccines provided during the course of this study, 184 were provided by the BRIDGE Healthcare Clinic. In conclusion, with the appropriate funding and stewardship, student-run free clinics play a resourceful role in increasing access to preventative health care for uninsured patients.
Databáze: MEDLINE