Adult immunization in a network of family practice residency programs
| Autor: | Douglas, K. C., Rush, D. R., Michael O'Dell, Monroe, A., Ausmus, M. |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Adult
Medical Audit Missouri Tetanus Diphtheria Toxoid Age Factors Internship and Residency Diphtheria Middle Aged Pneumonia Pneumococcal Hepatitis B Influenza Vaccines Influenza Human Tetanus Toxoid Humans Immunization Prospective Studies Family Practice Immunization Schedule Aged Retrospective Studies |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 0094-3509 |
| Popis: | A substantial proportion of morbidity and mortality associated with vaccine-preventable diseases occurs among adults. Teaching residents about disease prevention is mandated in the curriculum guidelines for family practice programs. A cooperative study among the Kansas City family practice residency programs was begun to look at immunization behaviors in these teaching programs. A retrospective audit of medical records and a prospective survey of residents and faculty were performed. From the medical records of 400 patients seen for health maintenance examinations, the frequency of tetanus-diphtheria immunizations recorded was 4.75%. The pooled immunization rate recorded for pneumococcal vaccine was 25%, and for influenza vaccine, 24%. Although 93% of respondents knew patients need tetanus-diphtheria immunization every 10 years, on a written questionnaire giving clinical examples, they were less likely to elect to immunize older patients eligible for tetanus-diphtheria vaccine. The following immunization criteria were listed by respondents: for pneumococcal vaccine, age over 65 years (86%); for influenza vaccine, age over 65 years (85%), chronic diseases (69%), residence in a chronic care facility (7%), and being a health care worker (28%). Educational interventions stressing the appropriate criteria and involvement of the patient are planned at the separate programs. |
| Databáze: | OpenAIRE |
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