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[Use of mobile immunization teams to increase influenza vaccination coverage among heatlthcare workers. A community intervention trial].

Identifieur interne : 000008 ( Main/Exploration ); précédent : 000007; suivant : 000009

[Use of mobile immunization teams to increase influenza vaccination coverage among heatlthcare workers. A community intervention trial].

Auteurs : Emili Naval N Ramon ; Inmaculada Martínez Pardo ; Tamara Sendra Barbosa ; Núria Hernández Ferrando ; Beatriz Morcillo Escudero ; Vicente Esquer Hernandis

Source :

RBID : pubmed:31006770

Descripteurs français

English descriptors

Abstract

OBJECTIVE

The use of mobile immunization teams has been proposed as a strategy to increase influenza vaccination (IV) coverage among healthcare workers (HCW), but has not been evaluated in Primary Healthcare (PHC). The objective of this work was to determine if the use of mobile immunization teams increases IV coverage among HCW of a basic health area in the Valencian Community.

METHODS

Community intervention trial that included all HCWs from a basic health area in the Valencian Community. The assignment was by conglomerates in one stage, with the HCWs of a health center as an intervention group and that of the rest of the centers as a control group. The intervention group was visited by a team consisting of a doctor and a nurse who offered on-site IV, while the control group did not receive such a visit. The independent variable was the visit of the mobile immunization team and the dependent variable was IV in the study season (2015-2016). Data analysis was done both for the total IV coverage and separately for sex, age, professional category and history of IV in the previous seasons. A McNemar test was used to compare frequency distributions of paired data.

RESULTS

The control group went from 14 (31.8%) vaccinated in the 2014-2015 season to 19 (45.2%) in the 2015-2016 season, while the intervention group went from 19 (30.6%) to 34 (54.8%). Among the total of the WHCs it went from 33 (31.3%) vaccinated to 53 (50.0%). This increase was significant. By groups, the increase was significant among those who received the visit of the mobile team (p = 0.0003), but not in the control group (p = 0.18).

CONCLUSIONS

The visit of a mobile immunization team is a significant factor favorable to IV among HCW in our setting.


PubMed: 31006770


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Female (MeSH)</term>
<term>Health Personnel (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza Vaccines (MeSH)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Longitudinal Studies (MeSH)</term>
<term>Male (MeSH)</term>
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<term>Couverture vaccinale (tendances)</term>
<term>Espagne (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Grippe humaine (prévention et contrôle)</term>
<term>Humains (MeSH)</term>
<term>Maladies professionnelles (prévention et contrôle)</term>
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<term>Personnel de santé (MeSH)</term>
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<term>Santé au travail (MeSH)</term>
<term>Unités sanitaires mobiles (MeSH)</term>
<term>Utilisation des installations et des services (tendances)</term>
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<term>Adulte d'âge moyen</term>
<term>Attitude du personnel soignant</term>
<term>Espagne</term>
<term>Femelle</term>
<term>Humains</term>
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<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>The use of mobile immunization teams has been proposed as a strategy to increase influenza vaccination (IV) coverage among healthcare workers (HCW), but has not been evaluated in Primary Healthcare (PHC). The objective of this work was to determine if the use of mobile immunization teams increases IV coverage among HCW of a basic health area in the Valencian Community.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Community intervention trial that included all HCWs from a basic health area in the Valencian Community. The assignment was by conglomerates in one stage, with the HCWs of a health center as an intervention group and that of the rest of the centers as a control group. The intervention group was visited by a team consisting of a doctor and a nurse who offered on-site IV, while the control group did not receive such a visit. The independent variable was the visit of the mobile immunization team and the dependent variable was IV in the study season (2015-2016). Data analysis was done both for the total IV coverage and separately for sex, age, professional category and history of IV in the previous seasons. A McNemar test was used to compare frequency distributions of paired data.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>The control group went from 14 (31.8%) vaccinated in the 2014-2015 season to 19 (45.2%) in the 2015-2016 season, while the intervention group went from 19 (30.6%) to 34 (54.8%). Among the total of the WHCs it went from 33 (31.3%) vaccinated to 53 (50.0%). This increase was significant. By groups, the increase was significant among those who received the visit of the mobile team (p = 0.0003), but not in the control group (p = 0.18).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>The visit of a mobile immunization team is a significant factor favorable to IV among HCW in our setting.</p>
</div>
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<ArticleTitle>[Use of mobile immunization teams to increase influenza vaccination coverage among heatlthcare workers. A community intervention trial].</ArticleTitle>
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<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The use of mobile immunization teams has been proposed as a strategy to increase influenza vaccination (IV) coverage among healthcare workers (HCW), but has not been evaluated in Primary Healthcare (PHC). The objective of this work was to determine if the use of mobile immunization teams increases IV coverage among HCW of a basic health area in the Valencian Community.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Community intervention trial that included all HCWs from a basic health area in the Valencian Community. The assignment was by conglomerates in one stage, with the HCWs of a health center as an intervention group and that of the rest of the centers as a control group. The intervention group was visited by a team consisting of a doctor and a nurse who offered on-site IV, while the control group did not receive such a visit. The independent variable was the visit of the mobile immunization team and the dependent variable was IV in the study season (2015-2016). Data analysis was done both for the total IV coverage and separately for sex, age, professional category and history of IV in the previous seasons. A McNemar test was used to compare frequency distributions of paired data.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The control group went from 14 (31.8%) vaccinated in the 2014-2015 season to 19 (45.2%) in the 2015-2016 season, while the intervention group went from 19 (30.6%) to 34 (54.8%). Among the total of the WHCs it went from 33 (31.3%) vaccinated to 53 (50.0%). This increase was significant. By groups, the increase was significant among those who received the visit of the mobile team (p = 0.0003), but not in the control group (p = 0.18).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The visit of a mobile immunization team is a significant factor favorable to IV among HCW in our setting.</AbstractText>
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<AuthorList CompleteYN="Y">
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<LastName>Navalón Ramon</LastName>
<ForeName>Emili</ForeName>
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<AffiliationInfo>
<Affiliation>Centre de Salut Ontinyent-II. Ontinyent. Valencia. España.</Affiliation>
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<Author ValidYN="Y">
<LastName>Martínez Pardo</LastName>
<ForeName>Inmaculada</ForeName>
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<Affiliation>Centre de Salut Ontinyent-II. Ontinyent. Valencia. España.</Affiliation>
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<LastName>Sendra Barbosa</LastName>
<ForeName>Tamara</ForeName>
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<Affiliation>Centro de Salud Pública de Xàtiva. Xàtiva. Valencia. España.</Affiliation>
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<LastName>Hernández Ferrando</LastName>
<ForeName>Núria</ForeName>
<Initials>N</Initials>
<AffiliationInfo>
<Affiliation>Centre de Salut de Vallada. Vallada. Valencia. España.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Morcillo Escudero</LastName>
<ForeName>Beatriz</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Servicio de Urgencias Generales. Hospital Lluís Alcanyís. Xàtiva. Valencia. España.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>Esquer Hernandis</LastName>
<ForeName>Vicente</ForeName>
<Initials>V</Initials>
<AffiliationInfo>
<Affiliation>Centre de Salut Ontinyent-III. Ontinyent. Valencia. España.</Affiliation>
</AffiliationInfo>
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<VernacularTitle>Uso de equipos móviles para aumentar la cobertura vacunal antigripal entre el personal sanitario. Ensayo comunitario de intervención.</VernacularTitle>
<ArticleDate DateType="Electronic">
<Year>2019</Year>
<Month>04</Month>
<Day>22</Day>
</ArticleDate>
</Article>
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<Country>Spain</Country>
<MedlineTA>Rev Esp Salud Publica</MedlineTA>
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<ISSNLinking>1135-5727</ISSNLinking>
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<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance>
</Chemical>
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<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001291" MajorTopicYN="N">Attitude of Health Personnel</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000078336" MajorTopicYN="N">Facilities and Services Utilization</DescriptorName>
<QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D006282" MajorTopicYN="Y">Health Personnel</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007252" MajorTopicYN="Y">Influenza Vaccines</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
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<DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName>
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<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D008952" MajorTopicYN="Y">Mobile Health Units</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D009784" MajorTopicYN="N">Occupational Diseases</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016272" MajorTopicYN="N">Occupational Health</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012621" MajorTopicYN="N">Seasons</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000073887" MajorTopicYN="N">Vaccination Coverage</DescriptorName>
<QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName>
</MeshHeading>
</MeshHeadingList>
<OtherAbstract Type="Publisher" Language="spa">
<AbstractText Label="OBJETIVO" NlmCategory="UNASSIGNED">El uso de equipos móviles ha sido propuesto como estrategia para aumentar la cobertura de vacunación antigripal (VAG) entre el personal sanitario (PS), pero no ha sido evaluado en Atención Primaria (AP). El objetivo de este trabajo fue determinar si el uso de equipos móviles aumenta la cobertura de la VAG entre el PS de una zona básica de salud de AP de la Comunidad Valenciana.</AbstractText>
<AbstractText Label="METODOS" NlmCategory="UNASSIGNED">Ensayo de intervención comunitaria que incluyó a todo el PS de AP de una zona básica de salud de la Comunidad Valenciana. La asignación fue por conglomerados en una etapa, con el PS de un centro de salud como grupo de intervención y el del resto de centros como grupo control. El PS del grupo de intervención recibió la visita de un equipo formado por un médico y un enfermero que ofreció in situ la vacunación antigripal, mientras que el grupo control no recibió tal visita. La variable independiente fue la visita del equipo móvil y la variable dependiente fue la VAG en la temporada de estudio (2015-2016). El análisis de los datos se realizó tanto para las coberturas de VAG totales como separadamente por sexo, edad, categoría profesional y antecedentes de VAG en las temporadas anteriores. Para comparar las distribuciones de frecuencia de datos apareados se usó la prueba de McNemar.</AbstractText>
<AbstractText Label="RESULTADOS" NlmCategory="UNASSIGNED">El grupo control pasó de 14 (31,8%) vacunados en la temporada 2014-2015 a 19 (45.2%) en la 2015-2016, mientras que el grupo de intervención pasó de 19 (30,6%) a 34 (54,8%). Entre el total del PS se pasó de 33 (31,3%) vacunados a 53 (50,0%). Este aumento fue significativo. Por grupos, el aumento fue significativo entre los que recibieron la visita del equipo móvil (p=0,0003), pero no en el grupo de control (p=0,18).</AbstractText>
<AbstractText Label="CONCLUSIONES" NlmCategory="UNASSIGNED">La visita de un equipo móvil es un factor significativo favorable a la VAG entre el PS de AP en nuestro medio.</AbstractText>
</OtherAbstract>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Health personnel</Keyword>
<Keyword MajorTopicYN="N">Human influenza</Keyword>
<Keyword MajorTopicYN="N">Immunization programs</Keyword>
<Keyword MajorTopicYN="N">Influenza vaccines</Keyword>
<Keyword MajorTopicYN="N">Occupational health</Keyword>
<Keyword MajorTopicYN="N">Primary health care</Keyword>
<Keyword MajorTopicYN="N">Public health</Keyword>
<Keyword MajorTopicYN="N">Spain</Keyword>
<Keyword MajorTopicYN="N">Vaccination coverage</Keyword>
<Keyword MajorTopicYN="N">Vaccines</Keyword>
</KeywordList>
<CoiStatement>Disclosure The authors report no conflicts of interest in this work.</CoiStatement>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="received">
<Year>2019</Year>
<Month>02</Month>
<Day>23</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2019</Year>
<Month>03</Month>
<Day>22</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2019</Year>
<Month>4</Month>
<Day>23</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2019</Year>
<Month>4</Month>
<Day>23</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2019</Year>
<Month>6</Month>
<Day>14</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>epublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">31006770</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list></list>
<tree>
<noCountry>
<name sortKey="Esquer Hernandis, Vicente" sort="Esquer Hernandis, Vicente" uniqKey="Esquer Hernandis V" first="Vicente" last="Esquer Hernandis">Vicente Esquer Hernandis</name>
<name sortKey="Hernandez Ferrando, Nuria" sort="Hernandez Ferrando, Nuria" uniqKey="Hernandez Ferrando N" first="Núria" last="Hernández Ferrando">Núria Hernández Ferrando</name>
<name sortKey="Martinez Pardo, Inmaculada" sort="Martinez Pardo, Inmaculada" uniqKey="Martinez Pardo I" first="Inmaculada" last="Martínez Pardo">Inmaculada Martínez Pardo</name>
<name sortKey="Morcillo Escudero, Beatriz" sort="Morcillo Escudero, Beatriz" uniqKey="Morcillo Escudero B" first="Beatriz" last="Morcillo Escudero">Beatriz Morcillo Escudero</name>
<name sortKey="Naval N Ramon, Emili" sort="Naval N Ramon, Emili" uniqKey="Naval N Ramon E" first="Emili" last="Naval N Ramon">Emili Naval N Ramon</name>
<name sortKey="Sendra Barbosa, Tamara" sort="Sendra Barbosa, Tamara" uniqKey="Sendra Barbosa T" first="Tamara" last="Sendra Barbosa">Tamara Sendra Barbosa</name>
</noCountry>
</tree>
</affiliations>
</record>

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