Titre :
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Performance Measures, Vaccinations, and Pneumonia Rates Among High-Risk Patients in Veterans Administration Health Care. (2007)
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Auteurs :
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JHA (Ashish-K) : USA. Harvard School of Public Health. Boston. MA. ;
PERLIN (Jonathan-B) : USA. Office of the Under Secretary of Health. Veterans Health Administration. Washington. DC. ;
WRIGHT (Steven-M) : USA. Office of Quality and Performance. Veterans Health Administration. Washington. DC.
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 97, n° 12, 2007)
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Pagination :
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2167-2172
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Langues:
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Anglais
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Mots-clés :
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Pneumonie
;
Performance
;
Homme
;
Malade
;
Soins
;
Prévention santé
;
Amérique
;
Couverture vaccinale
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST-CNRS HR0xWF6u. Diffusion soumise à autorisation]. Objectives. Influenza and pneumococcal vaccinations reduce morbidity, mortality, and health care costs, but their use lags behind goals set by public health experts. We evaluated the effect of a performance measurement program instituted by the Veterans Health Administration in 1995 to improve vaccination rates. Methods. We used cross-sectional chart-abstracted data to calculate influenza and pneumococcal vaccination rates among eligible patients, and administrative data to calculate pneumonia admission rates. We compared vaccination and hospitalization rates before and after the institution of the performance measurement program with rates outside the Veterans Health Administration. Results. Influenza and pneumococcal vaccination rates for eligible patients rose from 27% and 28% during 1994 to 1995 to 70% and 85%, respectively, by 2003 (Pfor trend<. geographic and other variations were substantially reduced. during this time pneumonia hospitalization rates decreased by among elderly veterans health administration enrollees but increased medicare differences in trend conclusions. the performance measurement program was associated with increases vaccination reduced variation admissions. systems instituting similarly effective programs may improve quality of their clinical care.>
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