Use of a state regulation for adult vaccination
Abstract
Background Influenza and pneumococcal disease are major causes of vaccine-preventable death among the elderly. In an effort to raise immunization rates, New Jersey in 1999 adopted a regulation requiring hospitals to offer pneumococcal and influenza vaccinations to all inpatients aged 65 and over. This study examined the effect of implementation strategies on immunization rates within hospitals in 2000 and 2001.Methods Hospital infection control directors were surveyed and random chart review was conducted from a stratified sample of hospitals. The infection control director's assessment of their institution's success was a major outcome measure.Results Relatively few respondents thought their hospital has been successful in implementing new immunization protocols. Approximately 67% responded that they did not think physicians agreed with the "scope and nature" of the regulation. Physician attitudes led the list of barriers to implementation cited by respondents. Chart review revealed moderate amounts of immunization assessment performed by nurses, but virtually no evidence of physicians' orders for immunization.Conclusions Thus far, there is little evidence that the New Jersey regulation has resulted in a meaningful change in pneumococcal or influenza vaccination practices.
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Mokdad et al. have presented the 9 leading actual or underlying causes of death in the United States.
“Mokdad et al. have presented the 9 leading “actual” or “underlying” causes of death in the United States,12 as shown in Table 3”
From The scientific basis for law as a public health tool (2009) · cites this paper as [12]
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The scientific basis for law as a public health tool
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- Authors
- Hempstead, K., Bresnitz, E., Howell-White, S., Crabtree, D., & Scotto Rosato, N.
- Affiliations
- Rutgers, The State University of New Jersey (US)
- New Jersey Department of Health (US)
- Corresponding author
- Hempstead, Katherine
- ORCID
- Hempstead, Katherine
- Venue
- American Journal of Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2004-05
- Volume
- 26
- Issue
- 4
- Pages
- 311-314
- ISSN
- 0749-3797 (ISSN-L)
- OpenAlex
- W2042900728
- Cited by
- 7
- References
- 26
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention (R06 CCR218666)
- Topics
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Health Sciences › Medicine › Epidemiology › Pneumonia and Respiratory Infections
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Keywords
- adult vaccination, pneumococcal vaccination, influenza vaccination, government regulation, implementation strategies, vaccination coverage, older adults, physician attitudes, implementation barriers, New Jersey
- MeSH terms
- Aged, Hospitals, Humans, Influenza Vaccines, New Jersey, Practice Patterns, Physicians', Vaccination, Pneumococcal Vaccines
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