Implementation of personal vaccination record (PVR) to increase completeness and adherence of multi-dose adult vaccination : a retrospective study at the wellness center, Burapha University Hospital
Keywords:
Vaccine series completion, adherence, schedule, vaccine recordAbstract
Background: Failure to complete multi-dose vaccination was profound in adults globally. The reminder and recall system were proposed to improve immunization rates. We implemented the personal vaccination record (PVR) for adult vaccine services at the wellness center, Burapha University Hospital and measured completion and adherence rate before and after implementation.
Methods: This retrospective study analyzed multi-dose vaccine recipient data at the wellness center, Burapha University Hospital during 2019-2020. The PVR was implemented from 2020 onward; recipients who initiated the vaccine before and after PVR were categorized as pre-PVR and post-PVR groups, respectively. The outcomes were completeness and adherence rate. Completeness is defined as the completion of the standard vaccine series: 3 doses for Hepatitis B (HBV) and Human papilloma virus (HPV) vaccines, 2 doses for Measles-mumps-rubella vaccine (MMR) and varicella vaccine (VAR). Adherence is defined as receiving the vaccines per recommended schedule or within a window period of an additional one week.
Results: The completion and adherence rate were significantly higher in the post-PVR vs. pre-PVR group. The completion and adherence rate of post-VPR group were significantly higher than pre-VPR group (88.6% vs. 60.1% and 85.9% vs. 55.2% respectively). When adjusted for demographic data, PVR implementation and aged >35 years old were significantly associated with the completeness and adherence of multi-dose vaccine series.
Conclusions: Vaccination series completeness and adherence were higher after the PVR was implemented, especially among older adults. The PVR, or other forms of reminder systems, should be incorporated into every adult vaccination service to promote complete receiving recommended vaccines and immunization.
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