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We understand clinical quality governance (CQG) as quality management in the clinical domain. In 2020, presumably due to the coronavirus pandemic, more patients requested to be vaccinated against influenza as compared to previous years so that it became apparent that there would be a shortage for high-risk patients. To meet the problem, we started a CQG process. This article is explicitly not a research article but an exemplary description of a CQG process intended as a stimulus and for discussion. We initiated the following process: (1) evaluation of the present state, (2) patients who already had requested a vaccination were prioritized and vaccinated first, and (3) contacting via telephone and vaccination of high-risk patients not on the list. We chose patients with chronic obstructive pulmonary disease (COPD) older than 60 years as an indicator for the group of highest priority. In the beginning only 3 (8%) of our 38 patients with COPD were vaccinated against influenza. After prioritization and vaccination of the high-risk collective in the list of those who had requested to be vaccinated, 25 (66%) of our 38 patients with COPD were vaccinated. After a phone call of high-risk patients not on the list, 28 (74%) patients were vaccinated. This represents an increase of vaccination coverage from 8% to 74% which is close to the rate recommended by the World Health Organization (WHO). In times of a pandemic, family physicians occasionally have to deal with a scarcity of resources and have to develop strategies for fair resource allocation. Not only in this context is CQG worth the effort. The generation of list queries could be improved by the providers of electronic patient records. [ABSTRACT FROM AUTHOR]

The aim of the article is to review the features of the management of the vaccination process during the Covid-19 pandemic, and the importance of the health care systems in different countries. This is one of the most relevant research topics in recent years in the context of the Covid-19 pandemic, and the number of scientific publications is increasing daily with geometric progression. The authors of the article analysed and summarised over 160 scientific publications. A detailed analysis of the development, clinical research, approval and registration procedures, reliability, safety and efficacy of the Covid-19 vaccine presented in the articles is presented. In this context, it was particularly important for the authors to present the doubts about the advantages of vaccination, and the reasons for refusing vaccination, evaluating the public information context. The role of the health care system is presented in the disclosure of the organisation of the vaccination process in the country, especially in the identification of priority groups of vaccinees, and in the monitoring of vaccinated people. The results of the research analysed in the articles suggest that all registered Covid-19 vaccines are sufficiently reliable, safe and effective, and timely public information is of great importance for vaccination coverage. The central role of the health care system in organising and managing the vaccination process has proven its worth. The vaccination process is managed and controlled in the country. [ABSTRACT FROM AUTHOR]

In this editorial of the Journal of General Medicine, the role of general practitioners in pandemic management is discussed. It is emphasized that general practitioners not only play an important role in individual health problems but are also indispensable in the face of collective health threats. The COVID-19 vaccination is considered a special case among vaccinations, as it does not protect against infection or transmission of the infection. However, complete vaccination provides good protection against severe progression and symptomatic illness. The decision on vaccinating the population does not lie with the doctors but with political and legal authorities. Austria has become the first country worldwide to introduce a general vaccination obligation. The vaccination obligation creates a complex situation as many doctors have problems with it. It is emphasized that doctors do not make vaccination mandatory but only vaccinate those who come to them voluntarily and wish to be vaccinated. It is pointed out that doctors can explain the benefits of vaccination and reduce fears both on a societal level and in individual encounters. It is hoped that Germany can achieve a socially meaningful vaccination coverage in a different way. [Extracted from the article]