Applying Quality Improvement Intervention to Increase Vaccination Rate: Case of Pneumococcal Vaccine in Patients With Chronic Kidney Disease

Jr Jung Lyu, Hsuan Ming Lin

Research output: Contribution to journalArticlepeer-review

Abstract

Pneumonia in patients with chronic kidney disease (CKD) or under dialysis is a severe public health issue. The pneumococcal vaccine could reduce mortality in the CKD patients, but the coverage rate was low in Taiwan. In this study, the cause of the phenomenon was analyzed and a quality improvement program was proposed, which integrated shared mental model, shared decision making, and case management. The proposed program was conducted from August 2019 to May 2021 and enrolled patients with CKD and end-stage renal disease (ESRD) with hospital. The initial coverage of the patients ranged from 0.00% to 5.09%. After the completion of the proposed program, the coverage in peritoneal dialysis (PD) patients was increased to 57.14%, where the coverage in hemodialysis (HD) patients was increased from 0.00% to 32.05%, while the coverage in pre-ESRD patients was increased from 5.09% to 11.89%. It is also discovered that the coverage of the 13-valent pneumococcal conjugate vaccine (PCV13) was significantly higher in patients under PD than in those under HD. The proposed program indicated promising results to increase the coverage of PCV13.

Original languageEnglish
Pages (from-to)341-353
Number of pages13
JournalJournal of Quality
Volume30
Issue number5
DOIs
Publication statusPublished - 2023

All Science Journal Classification (ASJC) codes

  • Safety, Risk, Reliability and Quality
  • Management Science and Operations Research

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