Improving influenza immunisation for high-risk children and adolescents

摘要: Objective: To improve influenza vaccination rates for high-risk children and adolescents. Methods: During the 2004–5 season, 5 regional cystic fibrosis (CF) centres, 6 hospital clinics that participated in a similar initiative previous year, 4 new clinics, 39 community-based paediatric practices implemented multicomponent change package consisting of nine improvement strategies designed to increase immunisation patients. Each site was encouraged adopt customise meet their specific culture needs. The main outcome measure proportion target population immunised. Surveys sent community were summarised. Results: intervention targeted total 18 866 9374 (49.7%) received vaccination. Community-based actively collaborative reported using significantly more (mean (SD) 7.4 (2.3) vs 4.6 (1.5), respectively, p = 0.001) achieved higher (59.3% (13.6%) 43.7% (20.5%), p = 0.01) than non-participating practices. most frequently concepts posters office, walk-in or same-day appointments reminder phone calls. interventions deemed helpful weekend evening “flu shot only” sessions, appointments, calls special mailings families. Conclusions: Implementation package, based on evidence diffusion innovation theory, resulted typically medical literature, especially primary care