Utilizing a Five-Step, Direct-Call Reminder System to Increase Vaccination Compliance in a Federally Qualified Health Center: A Quality Improvement Process.

IF 0.2 Q4 NURSING Journal of Doctoral Nursing Practice Pub Date : 2020-11-01 DOI:10.1891/JDNP-D-19-00070
LaToya L Royal, Gwendolyn L Hooper
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Abstract

Background: Childhood vaccines prevent more than 10 million illnesses and 33,000 deaths in the United States each year. Noncompliance rates for children 2 and under are higher in underserved and resource poor communities.

Objective: The aim of this project was to develop and implement a five-step, direct-call reminder system to increase vaccination rates among children ages 2 and under presenting to a federally qualified health center (FQHC).

Methods: This project examined whether direct phone contact with parents can increase office visits to discuss vaccine status over a 6-week period following implementation of a five-step, direct-call reminder system.

Results: 47 parents/guardians were contacted from a list of 455 patients. Thirty-six percent of parents contacted scheduled and kept appointments.

Conclusions: This study found that the vaccines rates of a FQHC practice initiative are directly affected by methods of contact and knowledge of the vaccine schedule. Reaching out and discussing vaccine schedules with parents can increase vaccination rates. Yet, many of them have limited methods of contact.

Implications for nursing: A five-step, direct-call reminder system has a positive impact on vaccination compliance. Vaccination compliance is complicated, and approaches should be multifaceted.

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利用五步,直接呼叫提醒系统,以提高疫苗接种依从性在联邦合格的卫生中心:质量改进过程。
背景:儿童疫苗每年在美国预防1000多万疾病和33000人死亡。在服务不足和资源贫乏的社区,2岁及以下儿童的不合规率更高。目的:该项目的目的是制定和实施一个五步骤,直接呼叫提醒系统,以提高在联邦合格的卫生中心(FQHC)就诊的2岁及以下儿童的疫苗接种率。方法:本项目调查了在实施五步直接电话提醒系统后的6周内,与家长直接电话联系是否可以增加办公室访问以讨论疫苗状况。结果:从455名患者中联系了47名家长/监护人。36%的家长联系并按时赴约。结论:本研究发现,FQHC实践倡议的疫苗接种率直接受到接触方式和疫苗接种计划知识的影响。与父母接触并讨论疫苗接种时间表可以提高疫苗接种率。然而,他们中的许多人的联系方式有限。对护理的影响:五步,直接呼叫提醒系统对疫苗接种依从性有积极影响。疫苗接种依从性是复杂的,方法应该是多方面的。
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CiteScore
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45
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