Pneumococcal Vaccine Rates in Persons 65 and Older: A USAF Medical Facility Record Review

摘要

The pneumococcal vaccine is underutilized according to self-reported surveys and the full scope of the problem remains undetermined. Objective: Primary aims were to determine if the documentation of pneumococcal vaccination varied between clinics for patients 65 and older; and to compare the results with national survey reports and claims data. Methods: 368 medical records were examined in this prevalence survey with 268 records from the internal medicine clinic (IMC) and 100 records from the family practice clinic (FPC) at the Wilford Hall U.S. Air Force Medical Center. Results: The documentation rates were 92.9% and 69.0%, for IMC and FPC respectively. This difference in documentation rates was statistically significant (chi-square = 35.462; df= 1; p <0.001) and both clinics exceeded the rates found in surveys and claims. Conclusions: Clinics differ in their vaccine documentation and self-reported national survey data might not accurately reflect the prevalence of pneumococcal vaccination.