Increasing Influenza Vaccination Rates in People With Chronic Illness.
Identifieur interne : 000016 ( Main/Exploration ); précédent : 000015; suivant : 000017Increasing Influenza Vaccination Rates in People With Chronic Illness.
Auteurs : Linda Sanftenberg ; Felix Brombacher ; Jörg Schelling ; Stefanie J. Klug ; Jochen GensichenSource :
- Deutsches Arzteblatt international [ 1866-0452 ] ; 2019.
Descripteurs français
- KwdFr :
- Allemagne (épidémiologie), Essais contrôlés randomisés comme sujet (MeSH), Grippe humaine (prévention et contrôle), Humains (MeSH), Maladie chronique (épidémiologie), Soins de santé primaires (MeSH), Systèmes d'aide-mémoire (MeSH), Vaccination (statistiques et données numériques), Vaccins antigrippaux (administration et posologie).
- MESH :
- administration et posologie : Vaccins antigrippaux.
- prévention et contrôle : Grippe humaine.
- statistiques et données numériques : Vaccination.
- épidémiologie : Allemagne, Maladie chronique.
- Essais contrôlés randomisés comme sujet, Humains, Soins de santé primaires, Systèmes d'aide-mémoire.
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- MESH :
- chemical , administration & dosage : Influenza Vaccines.
- geographic , epidemiology : Germany.
- epidemiology : Chronic Disease.
- prevention & control : Influenza, Human.
- statistics & numerical data : Vaccination.
- Humans, Primary Health Care, Randomized Controlled Trials as Topic, Reminder Systems.
Abstract
BACKGROUND
The safety and efficacy of influenza vaccination for the chronically ill are clearly supported by the evidence, yet vaccination rates in this vulnerable popu- lation remain low. This leads to many avoidable hospitalizations and deaths in Germany every year. The goal of this systematic review is to identify measures in primary care medicine that can be used to increase influenza vaccination rates among the chronically ill.
METHODS
This review was carried out as recommended in the PRISMA statement. A systematic literature search was performed. Only randomized, controlled trials were included in the analysis. Details can be found in the study protocol (PROSPERO, CRD42018114163).
RESULTS
15 trials were included in the analysis. Training sessions for medical practice teams focusing on a particular disease raised the vaccination rates by as much as 22%. A financial incentive had the greatest effect (relative risk [RR]: 2.79; 95% confidence interval: [1.18; 6.62]). Reminders via text message yielded a maximum 3.8% absolute increase in vaccination rates. Complex interventions were not found to be of any greater benefit than simple ones.
CONCLUSION
A variety of approaches can be effective. Focusing training sessions for medical practice teams on certain diseases may be of greater benefit than vacci- nation-centered training sessions. Reminder systems for doctors should be more reliably implemented. Simple strategies are perhaps the most suitable ones in the heterogeneous population of chronically ill persons. The limitations of this system- atic review include the heterogeneity of the studies that we examined and the small number of studies in each category.
DOI: 10.3238/arztebl.2019.0645
PubMed: 31617479
Affiliations:
Links toward previous steps (curation, corpus...)
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Klug</name></author><author><name sortKey="Gensichen, Jochen" sort="Gensichen, Jochen" uniqKey="Gensichen J" first="Jochen" last="Gensichen">Jochen Gensichen</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2019">2019</date><idno type="RBID">pubmed:31617479</idno><idno type="pmid">31617479</idno><idno type="doi">10.3238/arztebl.2019.0645</idno><idno type="wicri:Area/Main/Corpus">000006</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000006</idno><idno type="wicri:Area/Main/Curation">000006</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000006</idno><idno type="wicri:Area/Main/Exploration">000006</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Increasing Influenza Vaccination Rates in People With Chronic Illness.</title><author><name sortKey="Sanftenberg, Linda" sort="Sanftenberg, Linda" uniqKey="Sanftenberg L" first="Linda" last="Sanftenberg">Linda Sanftenberg</name></author><author><name sortKey="Brombacher, Felix" sort="Brombacher, Felix" uniqKey="Brombacher F" first="Felix" last="Brombacher">Felix Brombacher</name></author><author><name sortKey="Schelling, Jorg" sort="Schelling, Jorg" uniqKey="Schelling J" first="Jörg" last="Schelling">Jörg Schelling</name></author><author><name sortKey="Klug, Stefanie J" sort="Klug, Stefanie J" uniqKey="Klug S" first="Stefanie J" last="Klug">Stefanie J. Klug</name></author><author><name sortKey="Gensichen, Jochen" sort="Gensichen, Jochen" uniqKey="Gensichen J" first="Jochen" last="Gensichen">Jochen Gensichen</name></author></analytic><series><title level="j">Deutsches Arzteblatt international</title><idno type="eISSN">1866-0452</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chronic Disease (epidemiology)</term><term>Germany (epidemiology)</term><term>Humans (MeSH)</term><term>Influenza Vaccines (administration & dosage)</term><term>Influenza, Human (prevention & control)</term><term>Primary Health Care (MeSH)</term><term>Randomized Controlled Trials as Topic (MeSH)</term><term>Reminder Systems (MeSH)</term><term>Vaccination (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Allemagne (épidémiologie)</term><term>Essais contrôlés randomisés comme sujet (MeSH)</term><term>Grippe humaine (prévention et contrôle)</term><term>Humains (MeSH)</term><term>Maladie chronique (épidémiologie)</term><term>Soins de santé primaires (MeSH)</term><term>Systèmes d'aide-mémoire (MeSH)</term><term>Vaccination (statistiques et données numériques)</term><term>Vaccins antigrippaux (administration et posologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Germany</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins antigrippaux</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Chronic Disease</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Allemagne</term><term>Maladie chronique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Primary Health Care</term><term>Randomized Controlled Trials as Topic</term><term>Reminder Systems</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Essais contrôlés randomisés comme sujet</term><term>Humains</term><term>Soins de santé primaires</term><term>Systèmes d'aide-mémoire</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Allemagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>The safety and efficacy of influenza vaccination for the chronically ill are clearly supported by the evidence, yet vaccination rates in this vulnerable popu- lation remain low. This leads to many avoidable hospitalizations and deaths in Germany every year. The goal of this systematic review is to identify measures in primary care medicine that can be used to increase influenza vaccination rates among the chronically ill.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>This review was carried out as recommended in the PRISMA statement. A systematic literature search was performed. Only randomized, controlled trials were included in the analysis. Details can be found in the study protocol (PROSPERO, CRD42018114163).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>15 trials were included in the analysis. Training sessions for medical practice teams focusing on a particular disease raised the vaccination rates by as much as 22%. A financial incentive had the greatest effect (relative risk [RR]: 2.79; 95% confidence interval: [1.18; 6.62]). Reminders via text message yielded a maximum 3.8% absolute increase in vaccination rates. Complex interventions were not found to be of any greater benefit than simple ones.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>A variety of approaches can be effective. Focusing training sessions for medical practice teams on certain diseases may be of greater benefit than vacci- nation-centered training sessions. Reminder systems for doctors should be more reliably implemented. Simple strategies are perhaps the most suitable ones in the heterogeneous population of chronically ill persons. The limitations of this system- atic review include the heterogeneity of the studies that we examined and the small number of studies in each category.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31617479</PMID><DateCompleted><Year>2020</Year><Month>07</Month><Day>06</Day></DateCompleted><DateRevised><Year>2020</Year><Month>07</Month><Day>06</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1866-0452</ISSN><JournalIssue CitedMedium="Internet"><Volume>116</Volume><Issue>39</Issue><PubDate><Year>2019</Year><Month>09</Month><Day>27</Day></PubDate></JournalIssue><Title>Deutsches Arzteblatt international</Title><ISOAbbreviation>Dtsch Arztebl Int</ISOAbbreviation></Journal><ArticleTitle>Increasing Influenza Vaccination Rates in People With Chronic Illness.</ArticleTitle><Pagination><MedlinePgn>645-652</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3238/arztebl.2019.0645</ELocationID><ELocationID EIdType="pii" ValidYN="Y">arztebl.2019.0645</ELocationID><Abstract><AbstractText Label="BACKGROUND">The safety and efficacy of influenza vaccination for the chronically ill are clearly supported by the evidence, yet vaccination rates in this vulnerable popu- lation remain low. This leads to many avoidable hospitalizations and deaths in Germany every year. The goal of this systematic review is to identify measures in primary care medicine that can be used to increase influenza vaccination rates among the chronically ill.</AbstractText><AbstractText Label="METHODS">This review was carried out as recommended in the PRISMA statement. A systematic literature search was performed. Only randomized, controlled trials were included in the analysis. Details can be found in the study protocol (PROSPERO, CRD42018114163).</AbstractText><AbstractText Label="RESULTS">15 trials were included in the analysis. Training sessions for medical practice teams focusing on a particular disease raised the vaccination rates by as much as 22%. A financial incentive had the greatest effect (relative risk [RR]: 2.79; 95% confidence interval: [1.18; 6.62]). Reminders via text message yielded a maximum 3.8% absolute increase in vaccination rates. Complex interventions were not found to be of any greater benefit than simple ones.</AbstractText><AbstractText Label="CONCLUSION">A variety of approaches can be effective. Focusing training sessions for medical practice teams on certain diseases may be of greater benefit than vacci- nation-centered training sessions. Reminder systems for doctors should be more reliably implemented. Simple strategies are perhaps the most suitable ones in the heterogeneous population of chronically ill persons. 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Klug</name><name sortKey="Sanftenberg, Linda" sort="Sanftenberg, Linda" uniqKey="Sanftenberg L" first="Linda" last="Sanftenberg">Linda Sanftenberg</name><name sortKey="Schelling, Jorg" sort="Schelling, Jorg" uniqKey="Schelling J" first="Jörg" last="Schelling">Jörg Schelling</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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