Lessons to be learned: Using National Immunisation strategies to improve adherence to acute rheumatic fever secondary prophylaxis
| Autor: | Susan Gorton, Andrew V. White, Louise Axford-Haines, Joshua Y Liaw |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Heart disease Reminder Systems 03 medical and health sciences 0302 clinical medicine Population Groups 030225 pediatrics Secondary Prevention Medicine Humans 030212 general & internal medicine Registries Intensive care medicine Immunization Schedule business.industry Incidence (epidemiology) Australia Secondary prophylaxis Acute rheumatic fever Patient Acceptance of Health Care medicine.disease Ethylenediamines Vaccination Immunization Pediatrics Perinatology and Child Health Rheumatic fever Rheumatic Fever business Post-Exposure Prophylaxis Rheumatism |
| Zdroj: | Journal of paediatrics and child healthReferences. 55(10) |
| ISSN: | 1440-1754 |
| Popis: | Rheumatic heart disease, as a result of a single or recurrent episode of acute rheumatic fever (ARF), remains a significant cause of morbidity and mortality in northern and remote Australia; ARF has a peak incidence among 5-14-year-old Aboriginal and Torres Strait Islander children. Long-term regular benzathine penicillin G injections are the only currently successful secondary prevention strategy; however, rates of adherence remain critically low. In contrast, rates of adherence to immunisations on the National Immunisation Program (NIP) Schedule are high, even among this target population. This article compares strategies used to implement and improve ARF secondary prophylaxis with those used in the NIP. Some successful NIP strategies, such as Service Incentive Payment for health providers, home-visiting delivery models and integration into the National Immunisation Register, if applied to ARF secondary prophylaxis have the potential to improve benzathine penicillin G adherence. |
| Databáze: | OpenAIRE |
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