본문 바로가기
HOME> 논문 > 논문 검색상세

논문 상세정보

Journal of the American Geriatrics Society v.65 no.1, 2017년, pp.114 - 122   SCI SCIE SSCI
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Using the 4 Pillars Practice Transformation Program to Increase Pneumococcal Immunizations for Older Adults: A Cluster‐Randomized Trial

Zimmerman, Richard K. (Department of Family Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania ); Brown, Anthony E. (Department of Family Medicine, Baylor College of Medicine, Houston, Texas ); Pavlik, Valory N. (Department of Family Medicine, Baylor College of Medicine, Houston, Texas ); Moehling, Krissy K. (Department of Family Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania ); Raviotta, Jonathan M. (Department of Family Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania ); Lin, Chyongchiou J. (Department of Family Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania ); Zhang, Song (Department of Family Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania ); Hawk, Mary (Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania ); Kyle, Shakala (Department of Family Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania ); Patel, Suchita (Centers for Disease Control and Prevention, Atlanta, Georgia ); Ahmed, Faruque (Centers for Diseas ); Nowalk, Mary Patricia ( );
  • 초록  

    Objectives To test the effectiveness of a step‐by step, evidence‐based guide, the 4 Pillars Practice Transformation Program, to increase adult pneumococcal vaccination. Design Randomized controlled cluster trial (RCCT) in Year 1 (June 1, 2013 to May 31, 2014) and pre‐post study in Year 2 (June 1, 2014 to January 31, 2015) with data analyzed in 2016. Baseline year was June 1, 2012, to May 31, 2013. Demographic and vaccination data were derived from deidentified electronic medical record extractions. Setting Primary care practices (n = 25) stratified according to metropolitan area (Houston, Pittsburgh), location (rural, urban, suburban), and type (family medicine, internal medicine), randomized to receive the intervention in Year 1 (n = 13) or Year 2 (n = 12). Participants Individuals aged 65 and older at baseline (N = 18,107; mean age 74.2; 60.7% female, 16.5% non‐white, 15.7% Hispanic). Intervention The 4 Pillars Program, provider education, and one‐on‐one coaching of practice‐based immunization champions. Outcome measures were 23‐valent pneumococcal polysaccharide vaccine (PPSV) and pneumococcal conjugate vaccine (PCV) vaccination rates and percentage point (PP) changes in vaccination rates. Results In the Year 1 RCCT, PPSV vaccination rates increased significantly in all intervention and control groups, with average increases ranging from 6.5 to 8.7 PP (P Conclusion In a RCCT, PPSV vaccination rates increased in the intervention and control groups in Year 1. In a pre‐post study, private primary care practices actively participating in the 4 Pillars Practice Transformation Program improved PPSV and PCV uptake significantly more than practices that were in the maintenance phase of the study.


  • 주제어

    immunization .   adults .   pneumococcal polysaccharide vaccine .   pneumococcal conjugate vaccine .   Tdap vaccine.  

 활용도 분석

  • 상세보기

    amChart 영역
  • 원문보기

    amChart 영역

원문보기

무료다운로드
  • 원문이 없습니다.
유료다운로드

유료 다운로드의 경우 해당 사이트의 정책에 따라 신규 회원가입, 로그인, 유료 구매 등이 필요할 수 있습니다. 해당 사이트에서 발생하는 귀하의 모든 정보활동은 NDSL의 서비스 정책과 무관합니다.

원문복사신청을 하시면, 일부 해외 인쇄학술지의 경우 외국학술지지원센터(FRIC)에서
무료 원문복사 서비스를 제공합니다.

NDSL에서는 해당 원문을 복사서비스하고 있습니다. 위의 원문복사신청 또는 장바구니 담기를 통하여 원문복사서비스 이용이 가능합니다.

이 논문과 함께 출판된 논문 + 더보기