Characteristics of long-term-care facility residents associated with receipt of influenza and pneumococcal vaccinations.

摘要: Background Studies have found residency in long-term-care facilities (LTCFs) a risk factor for influenza and pneumonia demonstrated that vaccinations against these diseases reduce the of disease. However, rates are below Healthy People 2010 goals 90% LTCFs. During 1999-2002, multi-state demonstration project was conducted LTCFs to implement standing orders programs immunizations. Objective Identify nursing home resident-specific characteristics associated with vaccination coverage at baseline. Methods Facility-level data were collected from self-reported surveys selected homes 14 states On-line Survey Certification Reporting System. Resident-level data, including demographics physical functioning, obtained Centers Medicare & Medicaid Services' Minimum Data Set; 2000-2001 status by chart review. Influenza reflected single season, whereas pneumococcal past. Multilevel analysis used control facility-level variation. Results Of 22,188 residents sampled 249 LTCFs, complete 20,516 (92%). The average immunizations 58.5% +/- 0.7% 34.6% 0.3% pneumococcal. On bivariate analyses, cognitive, psychiatric, or neurologic problems more likely be vaccinated; those accidental injuries, unstable conditions, cancer less receive either vaccine. multilevel analysis, strongest resident receipt immunizations, controlling facility variation, cognitive deficits psychiatric illness. Conclusion variation baseline LTCF supports need strategies increase