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Low-Cost Intervention to Increase Influenza Vaccination Rate at a Comprehensive Cancer Center.
Grivas, Petros D; Devata, Sumana; Khoriaty, Rami; Boonstra, Philip S; Ruch, Joshua; McDonnell, Kevin; Hernandez-Aya, Leonel; Wilfong, Joshua; Smerage, Jeffrey; Ison, Michael G; Eisenberg, Joseph N S; Silveira, Maria; Cooney, Kathleen A; Worden, Francis P.
Afiliação
  • Grivas PD; Department of Hematology/Oncology, Taussig Cancer Institute, Cleveland Clinic, Desk R35, 9500 Euclid Ave, Cleveland, OH, 44195, USA. grivasp@ccf.org.
  • Devata S; Division of Hematology/Oncology, University of Michigan, Ann Arbor, MI, USA.
  • Khoriaty R; Division of Hematology/Oncology, University of Michigan, Ann Arbor, MI, USA.
  • Boonstra PS; University of Michigan Comprehensive Cancer Center, Ann Arbor, MI, USA.
  • Ruch J; Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA.
  • McDonnell K; Hematology/Oncology, Munson Medical Center, Traverse City, MI, USA.
  • Hernandez-Aya L; Division of Hematology/Oncology, University of Southern California, Los Angeles, CA, USA.
  • Wilfong J; Division of Oncology, Washington University School of Medicine, St. Louis, MO, USA.
  • Smerage J; Hospice and Palliative Medicine, Stanford University, Stanford, CA, USA.
  • Ison MG; Division of Hematology/Oncology, University of Michigan, Ann Arbor, MI, USA.
  • Eisenberg JNS; University of Michigan Comprehensive Cancer Center, Ann Arbor, MI, USA.
  • Silveira M; Divisions of Infectious Diseases and Organ Transplantation, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
  • Cooney KA; Department of Epidemiology, University of Michigan, Ann Arbor, MI, USA.
  • Worden FP; Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
J Cancer Educ ; 32(4): 871-877, 2017 Dec.
Article em En | MEDLINE | ID: mdl-27055536
ABSTRACT
Influenza morbidity and mortality can be severe and costly. Vaccination rates remain suboptimal in cancer patients due to provider- and patient-related factors. The objective of this study was to evaluate whether low-cost provider- and patient-focused interventions would increase influenza vaccination rates at the University of Michigan Comprehensive Cancer Center (UMCCC). This quality improvement project included all patients without documentation of influenza vaccination prior to their first outpatient appointment during the 2011-2012 and 2012-2013 influenza seasons. The multi-stepped intervention included provider and patient reminders. Influenza vaccination rates were compiled using CPT-4 codes. Same-day (with appointment) vaccination rates during the intervention seasons were compared to historical (2005-2011 seasons) controls; vaccination rates were also compared to contemporary control population at the University of Michigan Health System (UMHS). Reasons for non-adherence with vaccination were explored. The cumulative same-day vaccination rate in eligible adults was 10.1 % (2011-2012) and 9.4 % (2012-2013) compared to an average 6.9 % during influenza seasons 2005-2011. Based on logistic regression analysis, there was a 37.6 % (95 % CI 35-40.3 %) and 56.1 % (95 % CI 40.9-73 %) relative increase in the adult vaccination rate associated with the intervention, with 399 and 697 additional vaccinations, respectively, for each season. During the 2012-2013 season, the UMCCC adult vaccination rate was higher compared to the remainder of that of the UMHS. The intervention was well accepted by providers. Reasons for no vaccination were provider- and patient-related. Increasing provider and patient awareness with a simple, inexpensive intervention was associated with higher influenza vaccination rates at a large academic cancer center. The intervention is permanently implemented during influenza seasons.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Institutos de Câncer / Vacinas contra Influenza / Vacinação / Influenza Humana Tipo de estudo: Health_economic_evaluation Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Institutos de Câncer / Vacinas contra Influenza / Vacinação / Influenza Humana Tipo de estudo: Health_economic_evaluation Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2017 Tipo de documento: Article