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\begin{document}

\title{Evaluating pilot implementation of `PenCS Flu Topbar' app in medical
practices to improve National Immunisation Program funded season
influenza vaccination in Central Queensland, Australia}



\author[1]{Gulam Khandaker}%
\author[2]{Gwenda Chapman}%
\author[3]{Md Arifuzzaman  Khan}%
\author[4]{MahmudulHassan Al Imam}%
\author[5]{Robert Menzies}%
\author[6]{Nicolas Smoll}%
\author[7]{Jacina Walker}%
\author[7]{Michael Kirk}%
\author[8]{Kerrie Wiley}%
\affil[1]{The Children’s Hospital at Westmead}%
\affil[2]{Metro North Hospital and Health Service}%
\affil[3]{University of Central Queensland}%
\affil[4]{Central Queensland University}%
\affil[5]{Sanofi Pasteur Australia}%
\affil[6]{Sunshine Coast Hospital and Health Service}%
\affil[7]{Central Queensland Hospital and Health Service}%
\affil[8]{The University of Sydney}%


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  \date{June 16, 2024}


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\begin{abstract}
Background: The `PenCS Flu Topbar' app was deployed in Central
Queensland (CQ), Australia medical practices through a pilot program in
March 2021. Methods: We evaluated the app's user experience and examined
whether the introduction of `PenCS Flu Topbar' in medical practices
could improve the coverage of NIP funded influenza vaccinations. We
conducted a mixed-method study including a qualitative analysis of
in-depth interviews with key end-users, and a quantitative analysis of
influenza vaccine administrative data. Results: `PenCS Flu Topbar' app
users reported positive experiences identifying patients eligible for
NIP-funded season influenza vaccination. A total of 3,606 NIP funded
influenza vaccinations were administered in the eight intervention
practices, 14\% higher than the eight control practices. NIP-funded
vaccination coverage within practices was significantly higher in
intervention practices (31.2\%) than the control practices (27.3\%)
(absolute difference: 3.9\%; 95\%CI: 2.9\%-5.0\%; P\textless{}0.0001).
The coverage was substantially higher in Aboriginal and Torres Strait
Islander people aged more than 6 months, pregnant women and children
aged 6 months to less than 5 years for the practices where the app was
introduced when compared to control practices; Incidence Rate Ration
(IRR) 2.4 (95\%CI: 1.8-3.2), IRR 2.7 (95\%CI: 1.8-4.2) and IRR 2.3
(1.8-2.9) times higher, respectively. Conclusions: Our evaluation
indicated that the `PenCS Flu Topbar' app is uuseful for identifying the
patients eligible for NIP-funded influenza vaccination and is likely to
increase NIP-funded influenza vaccine coverage in the eligible
populations. Future impact evaluation including a greater number of
practices and a wider geographical area is essential.%
\end{abstract}%



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\verb`PenCS Flu Topbar manuscript V0.8_submission.docx`  available at \url{https://authorea.com/users/644686/articles/657472-evaluating-pilot-implementation-of-pencs-flu-topbar-app-in-medical-practices-to-improve-national-immunisation-program-funded-season-influenza-vaccination-in-central-queensland-australia}\selectlanguage{english}
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