Objectives. The Whiteriver Service Unit (WRSU) used proven effective methods to conduct an influenza vaccination campaign during the 2002–2003 influenza season to bridge the vaccination gap between American Indians and Alaska Natives and the US population as a whole.Methods. In our vaccination program, we used a multidisciplinary approach that included staff and community education, standing orders, vaccination of hospitalized patients, and employee, outpatient, community, and home vaccinations without financial barriers.Results. WRSU influenza vaccination coverage rates among persons aged 65 years and older, those aged 50 to 64 years, and those with diabetes were 71.8%, 49.6%, and 70.2%, respectively, during the 2002–2003 influenza season. We administered most vaccinations to persons aged 65 years and older through the outpatient clinics (63.6%) and public health nurses (30.0%). The WRSU employee influenza vaccination rate was 72.8%.Conclusions. We achieved influenza vaccination rates in targeted groups of an American Indian population that are comparable to or higher than rates in other US populations. Our system may be a useful model for other facilities attempting to bridge disparity for influenza vaccination.
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机译：目标。 Whiteriver Service Unit（WRSU）使用行之有效的方法在2002-2003年流感季节期间进行了流感疫苗接种运动，以弥合美洲印第安人和阿拉斯加原住民与整个美国人口之间的疫苗接种差距。在我们的疫苗接种计划中，我们采用了多学科的方法，包括员工和社区教育，常规服务，住院患者的疫苗接种以及没有财务障碍的员工，门诊，社区和家庭疫苗接种。在2002-2003年流感季节，65岁及以上人群，50-64岁人群和糖尿病人群的WRSU流感疫苗接种率分别为71.8％，49.6％和70.2％。我们通过门诊诊所（63.6％）和公共卫生护士（30.0％）对65岁及65岁以上的人群进行了大部分疫苗接种。 WRSU员工的流感疫苗接种率为72.8％。结论。我们在美国印第安人口的目标群体中实现的流感疫苗接种率与其他美国人群相当或更高。对于尝试弥合流感疫苗接种差距的其他设施，我们的系统可能是有用的模型。
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