Evaluation of a legislatively mandated influenza vaccination program for adults in Rhode Island, USA
| Autor: | Virginia Paine, Edith Gary, Megan C. Lindley, Fan Zhang, Faruque Ahmed |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Legislation Medical Influenza vaccine Context (language use) Mandatory Programs Vaccine administration Environmental health Intervention (counseling) Influenza Human medicine Humans National level Reimbursement business.industry Health Policy Public Health Environmental and Occupational Health Rhode Island Vaccination Influenza Vaccines Family medicine Female business Medicaid Program Evaluation |
| Zdroj: | Journal of public health management and practice : JPHMP. 16(5) |
| ISSN: | 1550-5022 |
| Popis: | CONTEXT There have been disruptions in influenza vaccine supply in the United States during the 2000-2001, 2001-2002, 2004-2005, and 2005-2006 influenza seasons. Some providers received limited or no vaccine, while others obtained their order in full, depending on with whom the order was placed. A state law was passed that mandates the Rhode Island Department of Health to include the purchase and distribution of influenza vaccine for adults in its immunization program. OBJECTIVE To evaluate the first 2 years of the statewide adult influenza immunization program. DESIGN We conducted key informant interviews of 25 providers in 2008 and surveyed all enrolled providers in 2008 (year 1) and 2009 (year 2). SETTING State of Rhode Island. PARTICIPANTS Physician practices and facilities that provide influenza vaccination to adults, including private practices, nursing homes, health centers, urgent care facilities, hospitals, mass immunizers, and businesses. INTERVENTION Enrolled providers received influenza vaccines free and billed insurers, Medicare, and Medicaid for vaccine administration costs. MAIN OUTCOME MEASURES Provider satisfaction with different program components and overall satisfaction. RESULTS For year 1, there was higher satisfaction with enrollment, training, vaccine ordering, and vaccine shipment than with paperwork and claims. Of the survey respondents, 71% reported that the program paperwork was reasonable and 30% reported difficulties in receiving reimbursement. Satisfaction with the vaccination start date of October 17, 2007, was 80%. There was high overall satisfaction (94%). In response to streamlining of reporting requirements and setting an earlier start date of October 7, 2008, for year 2, there was a significant increase in satisfaction with paperwork (89%) and with vaccination start date (90%). CONCLUSIONS The findings may be useful in guiding the development of vaccination programs to provide influenza and other vaccines for adults at the state or national level. |
| Databáze: | OpenAIRE |
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