Geographic variation in influenza vaccination among U.S. nursing home residents: A national study

Objectives Estimates of influenza vaccine use are not available at the county level for U.S. nursing home (NH) residents but are critically necessary to guide the implementation of quality improvement programs aimed at increasing vaccination. Furthermore, estimates that account for differences in re...

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Bibliographic Details
Published in:Journal of the American Geriatrics Society 2021-09, Vol.69 (9), p.2536-2547
Main Authors: Silva, Joe B. B., Bosco, Elliott, Riester, Melissa R., McConeghy, Kevin W., Moyo, Patience, Aalst, Robertus, Bardenheier, Barbara H., Gravenstein, Stefan, Baier, Rosa, Loiacono, Matthew M., Chit, Ayman, Zullo, Andrew R.
Format: Article
Language:English
Subjects:
Clinical Investigation
Geographical variations
Immunization
infections
Influenza
long‐term care
Nursing homes
Quality control
quality of health care
Regression analysis
Regular Issue Content
Vaccination
Vaccines
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Summary:Objectives Estimates of influenza vaccine use are not available at the county level for U.S. nursing home (NH) residents but are critically necessary to guide the implementation of quality improvement programs aimed at increasing vaccination. Furthermore, estimates that account for differences in resident characteristics between counties are unavailable. We estimated risk‐standardized vaccination rates (RSVRs) among short‐ and long‐stay NH residents by U.S. county and identified drivers of geographic variation. Methods We conducted a retrospective cohort study utilizing 100% of 2013–2015 fee‐for‐service Medicare claims, Minimum Data Set assessments, Certification and Survey Provider Enhanced Reports, and Long‐Term Care: Facts on Care in the U.S. We separately evaluated short‐stay (
ISSN:0002-8614
1532-5415
DOI:10.1111/jgs.17270