HCPLive Network

Simple Reminder Form Increases Pneumococcal Vaccination Rate

 
TUESDAY, Jan. 22 (HealthDay News) -- Use of a simple point-of-care paper reminder form is associated with an increase in the percentage of immunosuppressed rheumatology patients who remain up-to-date with their pneumococcal vaccinations, according to research published in the January issue of Arthritis & Rheumatism.

Sonali P. Desai, M.D., M.P.H., of the Brigham and Women's Hospital in Boston, and colleagues evaluated the effects of a quality improvement strategy involving a paper point-of-care reminder form designed to increase the percentage of immunosuppressed patients who kept up-to-date with pneumococcal vaccination, in a rheumatology practice. The cohort included 3,717 patients who were taking immunosuppressive medications (66.0 percent with rheumatoid arthritis; 74.1 percent women).

The researchers found that, in the time period following the intervention, there was a significant increase in the rate of patients who were up-to-date with pneumococcal vaccination for rheumatologists in the intervention (67.6 to 80.0 percent), compared with a stable rate among rheumatologists in the nonintervention control (52.3 to 52.0 percent). Positive predictors of receiving the appropriate vaccinations including having received the intervention (hazard ratio [HR], 3.58), having a primary care physician affiliated with Brigham and Women's Hospital (HR, 1.68), having a diagnosis of diabetes mellitus (HR, 1.57), and being 56 to 65 years of age at baseline (HR, 1.24).

"It is possible to significantly increase vaccination for an important at-risk immunosuppressed patient population through the use of a simple point-of-care reminder," the authors write. "Future efforts should continue to study and test quality improvement methods in order to effect sustained change."

One author disclosed financial ties to the pharmaceutical industry and UpToDate.
 

Abstract
Full Text

Copyright © 2013 HealthDay. All rights reserved.
 
 

Further Reading
Researchers at Hong Kong University and the Wellcome Trust Sanger Institute have identified a link between the influenza A viruses’ genetic diversity and severity of the infection.
Carol Burke, MD, FACG, FASGE, talks about her phase-3 placebo-controlled trial of Celecoxib in pediatric subjects with familial adenomatous polyposis (FAP) at the 2014 ACG Annual Meeting in Philadelphia, PA.
Carol Burke, MD, FACG, FASGE, discusses pediatric familial adenomatous polyposis (FAP) and colorectal cancer at the 2014 ACG Annual Scientific Meeting in Philadelphia, PA.
The immune system is the new focus of much work on traumatic brain injury (TBI). In a challenge to the paradigm that the blood brain barrier prevents harmful leukocytes from entering the brain, a Texas team tried to neutralize the impact of these cells. Peripheral lymphocytes are activated after TBI. They may then act as potential antigen presenting cells and get into the brain, causing cells there to degenerate.
Black women undergoing in vitro fertilization are only about half as likely as white women to become pregnant, and the racial disparity persists even when donor eggs are used. These findings are being presented at the annual meeting of the American Society for Reproductive Medicine, held from Oct. 18 to 22 in Honolulu.
Hospital conversion to for-profit status is associated with improvements in financial margins, but has no effect on process quality metrics or mortality rates, according to a study published in the Oct. 22/29 issue of the Journal of the American Medical Association
Drinking sugar-sweetened sodas may affect cellular aging by shortening telomere length, according to research published online Oct. 16 in the American Journal of Public Health.
More Reading