Group Health Cooperative a large, membership-governed, staff model hea
lth maintenance organization (HMO), has designed a comprehensive influ
enza campaign for identifying, recruiting and vaccinating enrollees at
increased risk for influenza-related complications. The Cooperative's
Centre for Health Promotion is responsible for the overall planning,
implementation and evaluation of the influenza campaign. The model for
delivering influenza immunizations has been designed to build on the
strengths and capabilities of a staff model HMO with sophisticated aut
omated information systems. The model permits area medical centres (AM
Cs) and physicians to use the materials and intervention strategies ge
nerated by the Centre for Health Promotion, while at the same time all
owing them flexibility to design and use their own intervention strate
gies to increase compliance. More importantly, the model reduces resou
rce requirements on AMCs and physicians to plan and maintain internal
immunization efforts. Recommendations for improving the influenza camp
aign are discussed. (C) 1998 Published by Elsevier Science Ltd. All ri
ghts reserved.