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{
    "pk": 16064,
    "title": "Evaluation of an Emergency Department Influenza Vaccination Program: Uptake Factors and Opportunities",
    "subtitle": null,
    "abstract": "Introduction:\n Influenza vaccines are commonly provided through community health events and primary care appointments. However, acute unscheduled healthcare visits such as emergency department (ED) visits are increasingly viewed as important vaccination opportunities. Emergency departments may be well-positioned to complement broader public health efforts with integrated vaccination programs. \nMethods:\n We studied an ED-based influenza vaccination initiative in an urban hospital and examined patient-level factors associated with screening and vaccination uptake. Our analyses included patient visits to the ED from October 1, 2019-April 1, 2020.\nResults: \nThe influenza screening and vaccination program proved feasible. Of the 20,878 ED visits that occurred within the study period, 3,565 (17.1%) included a screening for influenza vaccine eligibility; a small proportion (11.5%) of the patients seen had multiple screenings. Among the patients screened eligible for the vaccine, 916 ultimately received an influenza vaccination while in the ED (43.7% of eligible patients). There was significant variability in the characteristics of patients who were and were not screened and vaccinated. Age, gender, race, preferred language, and receipt of a flu vaccine in prior years were associated with screening and/or receiving a vaccine in the ED. \nConclusion:\n Vaccination programs in the ED can boost community vaccination rates and play a role in both preventing and treating current and future vaccine-preventable public health crises, although efforts must be made to deliver services equitably.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Vaccination, Influenza, Emergency Department"
        }
    ],
    "section": "Endemic Infections",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/5xq4z0t8",
    "frozenauthors": [
        {
            "first_name": "Canada",
            "middle_name": "",
            "last_name": "Parrish",
            "name_suffix": "",
            "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington",
            "department": "None"
        },
        {
            "first_name": "Crystal",
            "middle_name": "A.",
            "last_name": "Phares",
            "name_suffix": "",
            "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington",
            "department": "None"
        },
        {
            "first_name": "Tim",
            "middle_name": "",
            "last_name": "Fredrickson",
            "name_suffix": "",
            "institution": "Harborview Medical Center, Department of Emergency Medicine, Seattle, Washington",
            "department": "None"
        },
        {
            "first_name": "John",
            "middle_name": "B.",
            "last_name": "Lynch",
            "name_suffix": "",
            "institution": "University of Washington, Division of Allergy and Infectious Disease, Seattle, Washington",
            "department": "None"
        },
        {
            "first_name": "Lauren",
            "middle_name": "K.",
            "last_name": "Whiteside",
            "name_suffix": "",
            "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington",
            "department": "None"
        },
        {
            "first_name": "Herbert",
            "middle_name": "C.",
            "last_name": "Duber",
            "name_suffix": "",
            "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington",
            "department": "None"
        }
    ],
    "date_submitted": "2021-10-27T03:46:05Z",
    "date_accepted": "2021-10-27T03:46:05Z",
    "date_published": "2022-08-19T23:19:05Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/16064/galley/8057/download/"
        }
    ]
}