Evaluating Pilot Implementation of 'PenCS Flu Topbar' App in Medical Practices to Improve National Immunisation Program-Funded Seasonal Influenza Vaccination in Central Queensland, Australia.

Autor: Khandaker G; Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia.; Research Division, Central Queensland University, Rockhampton, Queensland, Australia.; Discipline of Child and Adolescent Health, Sydney Medical School, The University of Sydney, Camperdown, New South Wales, Australia., Chapman G; Herston Biofabrication Institute, Metro North Health, Herston, Queensland, Australia., Khan A; Wide Bay Public Health Unit, Hervey Bay Hospital and Health Service, Hervey Bay, Queensland, Australia.; School of Public Health, The University of Queensland, Herston, Queensland, Australia., Al Imam MH; Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia.; School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia., Menzies R; Research Division, Sanofi Pasteur, Canterbury, New South Wales, Australia., Smoll N; Sunshine Coast Public Health Unit, Sunshine Coast Hospital and Health Service, Maroochydore, Queensland, Australia., Walker J; Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia., Kirk M; Rockhampton Business Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia., Wiley K; Sydney School of Public Health, The University of Sydney, Camperdown, New South Wales, Australia.; Sydney Infectious Diseases Institute, The University of Sydney, Camperdown, New South Wales, Australia.
Jazyk: angličtina
Zdroj: Influenza and other respiratory viruses [Influenza Other Respir Viruses] 2024 Apr; Vol. 18 (4), pp. e13280.
DOI: 10.1111/irv.13280
Abstrakt: Background: The 'PenCS Flu Topbar' app was deployed in Central Queensland (CQ), Australia, medical practices through a pilot programme in March 2021.
Methods: We evaluated the app's user experience and examined whether the introduction of 'PenCS Flu Topbar' in medical practices could improve the coverage of NIP-funded influenza vaccinations. We conducted a mixed-method study including a qualitative analysis of in-depth interviews with key end-users and a quantitative analysis of influenza vaccine administrative data.
Results: 'PenCS Flu Topbar' app users reported positive experiences identifying patients eligible for NIP-funded seasonal influenza vaccination. A total of 3606 NIP-funded influenza vaccinations was administered in the eight intervention practices, 14% higher than the eight control practices. NIP-funded vaccination coverage within practices was significantly higher in the intervention practices (31.2%) than in the control practices (27.3%) (absolute difference: 3.9%; 95% CI: 2.9%-5.0%; p < 0.001). The coverage was substantially higher in Aboriginal and Torres Strait Islander people aged more than 6 months, pregnant women and children aged 6 months to less than 5 years for the practices where the app was introduced when compared to control practices: incidence rate ratio (IRR) 2.4 (95% CI: 1.8-3.2), IRR 2.7 (95% CI: 1.8-4.2) and IRR 2.3 (1.8-2.9) times higher, respectively.
Conclusions: Our evaluation indicated that the 'PenCS Flu Topbar' app is useful for identifying the patients eligible for NIP-funded influenza vaccination and is likely to increase NIP-funded influenza vaccine coverage in the eligible populations. Future impact evaluation including a greater number of practices and a wider geographical area is essential.
(© 2024 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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