Outreach immunisation services in New Zealand: Review of service delivery models

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dc.contributor.author Rouse, Antony en
dc.contributor.author Roberts, L en
dc.contributor.author Turner, Nicola en
dc.contributor.author McArdle, Barbara en
dc.contributor.author Nowlan, Mary en
dc.contributor.author Taylor, L en
dc.contributor.author Webber, R en
dc.date.accessioned 2017-06-19T04:46:59Z en
dc.date.issued 2017 en
dc.identifier.citation Journal of Primary Health Care 9(1):62-68 2017 en
dc.identifier.issn 1172-6164 en
dc.identifier.uri http://hdl.handle.net/2292/33608 en
dc.description.abstract INTRODUCTION: Outreach Immunisation Services (OIS) enable children who have not been immunised on time at general practice to be immunised in the community, thereby improving immunisation coverage and reducing equity gaps. AIM: To identify the most effective service delivery models and make recommendations for more effective and cost-efficient OIS delivery in New Zealand. METHODS: Data collection and thematic analysis through a detailed review of OIS contracts and service specifications, an online survey and in-depth interviews with stakeholders and providers, and an analysis of cost data was conducted. RESULTS: In total, 28 OIS providers completed survey questionnaires, 28 OIS staff were interviewed, and cost effectiveness data were obtained from 11 providers. The surveys and interviews identified key themes around identifying clients with the highest needs, effective engagement strategies, staffing requirements, and service challenges. On average, each OIS referral costs NZ$361 (median NZ$257), and each vaccination event costs NZ$636, ranging from NZ$145 to NZ$2403. Characteristics for two separate models of service delivery were identified based on provider size. CONCLUSION: There is considerable range in costs and style of OIS delivery, and efficiencies can be gained. Models need to fit with locality needs and include adequate resourcing, staff with good local knowledge, close relationships with other key child health services and preferably co-location, sustainable funding, and regular service reviews. OIS are part of an effective integrated service that relies on accurate data, positive relationships and a rapid response when children fail to present for vaccination in a timely fashion. en
dc.publisher Royal New Zealand College of General Practitioners en
dc.relation.ispartofseries Journal of Primary Health Care en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/1172-6164/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/ en
dc.title Outreach immunisation services in New Zealand: Review of service delivery models en
dc.type Journal Article en
dc.identifier.doi 10.1071/HC16012 en
pubs.issue 1 en
pubs.begin-page 62 en
pubs.volume 9 en
dc.description.version VoR - Version of Record en
dc.rights.holder Copyright: The Authors en
dc.identifier.pmid 29530189 en
pubs.end-page 68 en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 547238 en
pubs.org-id Business and Economics en
pubs.org-id Accounting and Finance en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Gen.Practice& Primary Hlthcare en
dc.identifier.eissn 1172-6156 en
pubs.record-created-at-source-date 2016-11-28 en
pubs.dimensions-id 29530189 en


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