tetano
Editor, Senior Moderator
Semergen. 2015 Apr 16. pii: S1138-3593(15)00112-4. doi: 10.1016/j.semerg.2015.02.014. [Epub ahead of print]
[h=1][Strategies to improve influenza vaccination coverage in Primary Health Care].[/h] [Article in Spanish]
Ant?n F[SUP]1[/SUP], Richart MJ[SUP]2[/SUP], Serrano S[SUP]2[/SUP], Mart?nez AM[SUP]2[/SUP], Pruteanu DF[SUP]2[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]INTRODUCTION:[/h] Vaccination coverage reached in adults is insufficient, and there is a real need for new strategies.
[h=4]OBJECTIVE:[/h] To compare strategies for improving influenza vaccination coverage in persons older than 64 years.
[h=4]PATIENTS AND METHODS:[/h] New strategies were introduced in our health care centre during 2013-2014 influenza vaccination campaign, which included vaccinating patients in homes for the aged as well as in the health care centre. A comparison was made on vaccination coverage over the last 4 years in 3 practices of our health care centre: P1, the general physician vaccinated patients older than 64 that came to the practice; P2, the general physician systematically insisted in vaccination in elderly patients, strongly advising to book appointments, and P3, the general physician did not insist.
[h=4]RESULTS:[/h] These practices looked after P1: 278; P2: 320; P3: 294 patients older than 64 years. Overall/P1/P2/P3 coverages in 2010: 51.2/51.4/55/46.9% (P=NS), in 2011: 52.4/52.9/53.8/50.3% (P=NS), in 2012: 51.9/52.5/55.3/47.6% (P=NS), and in 2013: 63.5/79.1/59.7/52.7 (P=.000, P1 versus P2 and P3; P=NS between P2 and P3). Comparing the coverages in 2012-2013 within each practice P1 (P=.000); P2 (P=.045); P3 (P=.018). In P2 and P3 all vaccinations were given by the nurses as previously scheduled. In P3, 55% of the vaccinations were given by the nurses, 24.1% by the GP, 9.7% rejected vaccination, and the remainder did not come to the practice during the vaccination period (October 2013-February 2014).
[h=4]CONCLUSIONS:[/h] The strategy of vaccinating in the homes for the aged improved the vaccination coverage by 5% in each practice. The strategy of "I've got you here, I jab you here" in P1 improved the vaccination coverage by 22%.
Copyright ? 2014 Sociedad Espa?ola de M?dicos de Atenci?n Primaria (SEMERGEN). Publicado por Elsevier Espa?a, S.L.U. All rights reserved.
[h=4]KEYWORDS:[/h] Atenci?n Primaria; Estrategias vacunales; Influenza vaccination; Primary Health Care; Vaccination strategies; Vacuna antigripal
PMID: 25891485 [PubMed - as supplied by publisher]
[h=1][Strategies to improve influenza vaccination coverage in Primary Health Care].[/h] [Article in Spanish]
Ant?n F[SUP]1[/SUP], Richart MJ[SUP]2[/SUP], Serrano S[SUP]2[/SUP], Mart?nez AM[SUP]2[/SUP], Pruteanu DF[SUP]2[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]INTRODUCTION:[/h] Vaccination coverage reached in adults is insufficient, and there is a real need for new strategies.
[h=4]OBJECTIVE:[/h] To compare strategies for improving influenza vaccination coverage in persons older than 64 years.
[h=4]PATIENTS AND METHODS:[/h] New strategies were introduced in our health care centre during 2013-2014 influenza vaccination campaign, which included vaccinating patients in homes for the aged as well as in the health care centre. A comparison was made on vaccination coverage over the last 4 years in 3 practices of our health care centre: P1, the general physician vaccinated patients older than 64 that came to the practice; P2, the general physician systematically insisted in vaccination in elderly patients, strongly advising to book appointments, and P3, the general physician did not insist.
[h=4]RESULTS:[/h] These practices looked after P1: 278; P2: 320; P3: 294 patients older than 64 years. Overall/P1/P2/P3 coverages in 2010: 51.2/51.4/55/46.9% (P=NS), in 2011: 52.4/52.9/53.8/50.3% (P=NS), in 2012: 51.9/52.5/55.3/47.6% (P=NS), and in 2013: 63.5/79.1/59.7/52.7 (P=.000, P1 versus P2 and P3; P=NS between P2 and P3). Comparing the coverages in 2012-2013 within each practice P1 (P=.000); P2 (P=.045); P3 (P=.018). In P2 and P3 all vaccinations were given by the nurses as previously scheduled. In P3, 55% of the vaccinations were given by the nurses, 24.1% by the GP, 9.7% rejected vaccination, and the remainder did not come to the practice during the vaccination period (October 2013-February 2014).
[h=4]CONCLUSIONS:[/h] The strategy of vaccinating in the homes for the aged improved the vaccination coverage by 5% in each practice. The strategy of "I've got you here, I jab you here" in P1 improved the vaccination coverage by 22%.
Copyright ? 2014 Sociedad Espa?ola de M?dicos de Atenci?n Primaria (SEMERGEN). Publicado por Elsevier Espa?a, S.L.U. All rights reserved.
[h=4]KEYWORDS:[/h] Atenci?n Primaria; Estrategias vacunales; Influenza vaccination; Primary Health Care; Vaccination strategies; Vacuna antigripal
PMID: 25891485 [PubMed - as supplied by publisher]