Standing Orders in an Ambulatory Setting Increases Influenza Vaccine Usage in Older People
Objectives: To determine whether standing orders for influenza vaccine increase its usage in an ambulatory setting in elderly patients. Design: Retrospective analysis of influenza vaccine usage over 4 years (1999–2002). Setting: University ambulatory setting. Participants: Overall, 912 elderly patie...
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Published in | Journal of the American Geriatrics Society (JAGS) Vol. 53; no. 6; pp. 1008 - 1010 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Oxford, UK
Blackwell Science Inc
01.06.2005
Blackwell Wiley Subscription Services, Inc |
Subjects | |
Online Access | Get full text |
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Summary: | Objectives: To determine whether standing orders for influenza vaccine increase its usage in an ambulatory setting in elderly patients.
Design: Retrospective analysis of influenza vaccine usage over 4 years (1999–2002).
Setting: University ambulatory setting.
Participants: Overall, 912 elderly patients of two physicians who issued standing orders and 884 elderly patients of two physicians who did not do so constituted the study group.
Measurements: Physicians were categorized as to whether they issued a verbal or written standing order to their nurses to administer the influenza vaccine to patients aged 65 and older. Rates of influenza vaccination of patients whose physicians used standing orders were compared with those of physicians who did not use standing orders.
Results: Five hundred seventy‐six (63%) patients of physicians who used standing orders received influenza vaccine, compared with 332 (38%) patients of physicians who did not use them (P<.001). Standing orders accounted for a significantly higher rate of influenza vaccination in each study year. Moreover, in 2001, when influenza vaccine delivery was delayed, physicians who used standing orders maintained their same rate of usage, but physicians who did not had rates of about one‐half their usage of the other 3 years.
Conclusion: More Medicare recipients received influenza vaccine when their physicians used standing orders for its administration than when their physicians did not. Influenza vaccine represents an important prevention modality that demands widespread implementation, and standing orders can increase its usage. |
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Bibliography: | ark:/67375/WNG-JRS7BP80-Q ArticleID:JGS53320 istex:70C4B764C0878CF5254F1C02DADC6469F6AFC63F Presented at Southern Society for Clinical Investigation Meeting, New Orleans, Louisiana, February 14, 2004. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0002-8614 1532-5415 |
DOI: | 10.1111/j.1532-5415.2005.53320.x |