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Research ArticleOriginal Research

Implementing a Standing Order Immunization Policy: A Minimalist Intervention

George R. Gamble, Adam O. Goldstein and Rachel S. Bearman
The Journal of the American Board of Family Medicine January 2008, 21 (1) 38-44; DOI: https://doi.org/10.3122/jabfm.2008.01.060179
George R. Gamble
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Adam O. Goldstein
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Rachel S. Bearman
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  • Article
  • Figures & Data
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Article Figures & Data

Tables

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    Table 1.

    Immunization Rates of Eligible Patients by Type of Visit

    1999 Flu Season2000 Flu SeasonChange, 1999–2000
    Immunized (n [%])Total (n)Immunized (n [%])Total (n)Change (%)Fisher's Exact Test
    Influenza
        All visits
            Clinic 187 (58.8)14898 (65.3)1506.5NS
            Clinic 214 (48.3)2924 (54.5)446.3NS
            Clinic 364 (43.8)14678 (51.3)1527.5NS
        Continuity visits
            Clinic 183 (100.0)8392 (95.80)96−4.2NS
            Clinic 2*
            Clinic 355 (98.2)5641 (97.60)42−0.6NS
        Acute visits
            Clinic 14 (6.2)656 (11.10)545.0NS
            Clinic 214 (48.3)2924 (54.50)446.3NS
            Clinic 39 (10.0)9037 (33.60)11023.6SIG
    Pneumovax
        All visits
            Clinic 112 (16.4)7314 (17.9)781.5NS
            Clinic 27 (35.0)205 (18.5)27−16.5NS
            Clinic 313 (13.5)9612 (13)92−0.5NS
        Continuity visits
            Clinic 110 (33.3)3012 (28.60)42−4.8NS
            Clinic 2*
            Clinic 311 (33.3)336 (21.40)28−11.9NS
        Acute visits
            Clinic 12 (4.7)432 (5.60)360.9NS
            Clinic 27 (35.0)205 (18.50)27−16.5NS
            Clinic 32 (3.2)636 (9.40)646.2NS
    • * Insufficient number of patients.

    • NS, not significant; SIG, significant.

    • View popup
    Table 2.

    Presence of Flow Sheets in Medical Records

    1999 Flu Season2000 Flu SeasonChange, 1999–2000
    Total patients (n)Patients with flow sheet (% [n])Total (n)Patients with flow sheet (% [n])Change (%)Fisher's Exact Test
    Patients vaccinated for:
        Influenza
            Clinic 115160.90 (92)15167.50 (102)6.60NS
            Clinic 23050.00 (15)4551.10 (23)1.10NS
            Clinic 315640.40 (63)16344.20 (72)3.80NS
        Pneumovax
            Clinic 19361.60 (151)8556.30 (151)−5.30NS
            Clinic 21343.30 (30)2146.70 (45)3.40NS
            Clinic 31710.90 (156)127.40 (163)−3.50NS
    Patients immunized (% [n])Patients immunized (% [n])
    Patients with flow sheets
        Influenza
            Clinic 19293.5 (86)10295.1 (97)1.6NS
            Clinic 21593.3 (14)23100.0 (23)6.7NS
            Clinic 36398.4 (62)7297.2 (70)−1.2NS
        Pneumovax
            Clinic 19312.9 (12)8512.9 (11)0.0NS
            Clinic 21346.2 (6)2119.0 (4)−27.2NS
            Clinic 31764.7 (11)1275.0 (9)10.3NS
    Patients without flow sheets
        Influenza
            Clinic 1591.7 (1)492.0 (1)0.3NS
            Clinic 2150.0 (0)224.5 (1)4.5NS
            Clinic 3932.2 (2)918.0 (8)6.6NS
        Pneumovax
            Clinic 1580.0 (0)664.5 (3)4.5NS
            Clinic 2175.9 (1)244.2 (1)−1.7NS
            Clinic 31391.4 (2)1512.0 (3)0.5NS
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The Journal of the American Board of Family Medicine: 21 (1)
The Journal of the American Board of Family Medicine
Vol. 21, Issue 1
January-February 2008
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Implementing a Standing Order Immunization Policy: A Minimalist Intervention
George R. Gamble, Adam O. Goldstein, Rachel S. Bearman
The Journal of the American Board of Family Medicine Jan 2008, 21 (1) 38-44; DOI: 10.3122/jabfm.2008.01.060179

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Implementing a Standing Order Immunization Policy: A Minimalist Intervention
George R. Gamble, Adam O. Goldstein, Rachel S. Bearman
The Journal of the American Board of Family Medicine Jan 2008, 21 (1) 38-44; DOI: 10.3122/jabfm.2008.01.060179
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