[Influence of physician and physician list characteristics on influenza vaccination rates in older people in a health care area in the community of Valencia, Spain].
Identifieur interne : 000630 ( Main/Exploration ); précédent : 000629; suivant : 000631[Influence of physician and physician list characteristics on influenza vaccination rates in older people in a health care area in the community of Valencia, Spain].
Auteurs : H. Schwarz Chávarri [Espagne] ; V. Pedrera Carbonell ; J L Ortu O L Pez ; D. Orozco Beltrán ; V. Gil Guillén ; M A Pastor ClimentSource :
- Atencion primaria [ 0212-6567 ] ; 2004.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Analyse multifactorielle (MeSH), Enregistrements (MeSH), Espagne (MeSH), Facteurs socioéconomiques (MeSH), Femelle (MeSH), Grippe humaine (prévention et contrôle), Humains (MeSH), Mâle (MeSH), Types de pratiques des médecins (statistiques et données numériques), Vaccination (statistiques et données numériques), Vaccins antigrippaux (administration et posologie), Études transversales (MeSH).
- MESH :
- administration et posologie : Vaccins antigrippaux.
- prévention et contrôle : Grippe humaine.
- statistiques et données numériques : Types de pratiques des médecins, Vaccination.
- Adulte d'âge moyen, Analyse multifactorielle, Enregistrements, Espagne, Facteurs socioéconomiques, Femelle, Humains, Mâle, Études transversales.
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- Cross-Sectional Studies (MeSH), Female (MeSH), Humans (MeSH), Influenza Vaccines (administration & dosage), Influenza, Human (prevention & control), Male (MeSH), Middle Aged (MeSH), Multivariate Analysis (MeSH), Practice Patterns, Physicians' (statistics & numerical data), Registries (MeSH), Socioeconomic Factors (MeSH), Spain (MeSH), Vaccination (statistics & numerical data).
- MESH :
- chemical , administration & dosage : Influenza Vaccines.
- geographic : Spain.
- prevention & control : Influenza, Human.
- statistics & numerical data : Practice Patterns, Physicians', Vaccination.
- Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Multivariate Analysis, Registries, Socioeconomic Factors.
Abstract
OBJECTIVE
To identify the characteristics of physicians and the patients on their list related with rates of influenza vaccination in older people, and to quantify influenza vaccination coverage in this population group.
DESIGN
Observational, cross-sectional, multicenter population-based study with primary data.
PARTICIPANTS
All health centers in the health care area that used computerized registries of influenza vaccinations. Vaccination records were analyzed for 73 physicians who had been at their present post for at least 2 years prior to the study, and for 19 457 older people who were vaccinated during the 2001-2002 vaccination campaign.
SETTING
Primary health care area number 19.
MAIN MEASURES
Physician's age and sex, whether the physician was certified as a specialist in family and community medicine, teaching accreditation, permanent or temporary post, length of time in present post, years of professional practice, type of health center administration, total number of patients in the physician's list, population and percentage of the population >65 years old in the physician's list, influenza vaccination rate referred to the total number of patients on the physician's list. The criterion evaluated was the influenza vaccination rate in older people. Descriptive analysis, bivariate analysis and multivariate analysis were used. A P value < .05 was considered statistically significant, and 95% confidence intervals were calculated.
RESULTS
The overall influenza vaccination rate in older people (>65 years) was 50.9%, with considerable variability between physicians (from 18% to 77%). Vaccination rates were lowest in physicians who had been in their current post for longer (P=.001), with larger patient lists (P=.03), with more older people in their list (P=.000), and with larger proportions of older people in their list (P=.001). Lower rates of vaccination in older people were also associated with lower proportions of all patients on the list being vaccinated (P=.000). No significant associations were found for any of the other variables. After multivariate analysis only the percentage of older people on the physician's list remained significantly associated with vaccination rate.
CONCLUSIONS
Influenza vaccination rates for older people were low and similar to rates reported earlier for this region of Spain. The percentage of older people in the list was the only explanatory variable in the model, and was inversely proportional to vaccination coverage.
DOI: 10.1016/s0212-6567(04)79512-8
PubMed: 15511353
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Pedrera Carbonell</name></author><author><name sortKey="Ortu O L Pez, J L" sort="Ortu O L Pez, J L" uniqKey="Ortu O L Pez J" first="J L" last="Ortu O L Pez">J L Ortu O L Pez</name></author><author><name sortKey="Orozco Beltran, D" sort="Orozco Beltran, D" uniqKey="Orozco Beltran D" first="D" last="Orozco Beltrán">D. Orozco Beltrán</name></author><author><name sortKey="Gil Guillen, V" sort="Gil Guillen, V" uniqKey="Gil Guillen V" first="V" last="Gil Guillén">V. Gil Guillén</name></author><author><name sortKey="Pastor Climent, M A" sort="Pastor Climent, M A" uniqKey="Pastor Climent M" first="M A" last="Pastor Climent">M A Pastor Climent</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2004">2004</date><idno type="RBID">pubmed:15511353</idno><idno type="pmid">15511353</idno><idno type="doi">10.1016/s0212-6567(04)79512-8</idno><idno type="wicri:Area/Main/Corpus">00630</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">00630</idno><idno type="wicri:Area/Main/Curation">000630</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000630</idno><idno type="wicri:Area/Main/Exploration">000630</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Influence of physician and physician list characteristics on influenza vaccination rates in older people in a health care area in the community of Valencia, Spain].</title><author><name sortKey="Schwarz Chavarri, H" sort="Schwarz Chavarri, H" uniqKey="Schwarz Chavarri H" first="H" last="Schwarz Chávarri">H. Schwarz Chávarri</name><affiliation wicri:level="1"><nlm:affiliation>Unidad de Calidad y Formación, Area 18, Alicante, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Unidad de Calidad y Formación, Area 18, Alicante</wicri:regionArea><wicri:noRegion>Alicante</wicri:noRegion></affiliation></author><author><name sortKey="Pedrera Carbonell, V" sort="Pedrera Carbonell, V" uniqKey="Pedrera Carbonell V" first="V" last="Pedrera Carbonell">V. Pedrera Carbonell</name></author><author><name sortKey="Ortu O L Pez, J L" sort="Ortu O L Pez, J L" uniqKey="Ortu O L Pez J" first="J L" last="Ortu O L Pez">J L Ortu O L Pez</name></author><author><name sortKey="Orozco Beltran, D" sort="Orozco Beltran, D" uniqKey="Orozco Beltran D" first="D" last="Orozco Beltrán">D. Orozco Beltrán</name></author><author><name sortKey="Gil Guillen, V" sort="Gil Guillen, V" uniqKey="Gil Guillen V" first="V" last="Gil Guillén">V. Gil Guillén</name></author><author><name sortKey="Pastor Climent, M A" sort="Pastor Climent, M A" uniqKey="Pastor Climent M" first="M A" last="Pastor Climent">M A Pastor Climent</name></author></analytic><series><title level="j">Atencion primaria</title><idno type="ISSN">0212-6567</idno><imprint><date when="2004" type="published">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cross-Sectional Studies (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Influenza Vaccines (administration & dosage)</term><term>Influenza, Human (prevention & control)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Multivariate Analysis (MeSH)</term><term>Practice Patterns, Physicians' (statistics & numerical data)</term><term>Registries (MeSH)</term><term>Socioeconomic Factors (MeSH)</term><term>Spain (MeSH)</term><term>Vaccination (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Analyse multifactorielle (MeSH)</term><term>Enregistrements (MeSH)</term><term>Espagne (MeSH)</term><term>Facteurs socioéconomiques (MeSH)</term><term>Femelle (MeSH)</term><term>Grippe humaine (prévention et contrôle)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Types de pratiques des médecins (statistiques et données numériques)</term><term>Vaccination (statistiques et données numériques)</term><term>Vaccins antigrippaux (administration et posologie)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Spain</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins antigrippaux</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>Practice Patterns, Physicians'</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Types de pratiques des médecins</term><term>Vaccination</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Registries</term><term>Socioeconomic Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Analyse multifactorielle</term><term>Enregistrements</term><term>Espagne</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Espagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To identify the characteristics of physicians and the patients on their list related with rates of influenza vaccination in older people, and to quantify influenza vaccination coverage in this population group.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Observational, cross-sectional, multicenter population-based study with primary data.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>All health centers in the health care area that used computerized registries of influenza vaccinations. Vaccination records were analyzed for 73 physicians who had been at their present post for at least 2 years prior to the study, and for 19 457 older people who were vaccinated during the 2001-2002 vaccination campaign.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Primary health care area number 19.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN MEASURES</b></p><p>Physician's age and sex, whether the physician was certified as a specialist in family and community medicine, teaching accreditation, permanent or temporary post, length of time in present post, years of professional practice, type of health center administration, total number of patients in the physician's list, population and percentage of the population >65 years old in the physician's list, influenza vaccination rate referred to the total number of patients on the physician's list. The criterion evaluated was the influenza vaccination rate in older people. Descriptive analysis, bivariate analysis and multivariate analysis were used. A P value < .05 was considered statistically significant, and 95% confidence intervals were calculated.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The overall influenza vaccination rate in older people (>65 years) was 50.9%, with considerable variability between physicians (from 18% to 77%). Vaccination rates were lowest in physicians who had been in their current post for longer (P=.001), with larger patient lists (P=.03), with more older people in their list (P=.000), and with larger proportions of older people in their list (P=.001). Lower rates of vaccination in older people were also associated with lower proportions of all patients on the list being vaccinated (P=.000). No significant associations were found for any of the other variables. After multivariate analysis only the percentage of older people on the physician's list remained significantly associated with vaccination rate.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Influenza vaccination rates for older people were low and similar to rates reported earlier for this region of Spain. The percentage of older people in the list was the only explanatory variable in the model, and was inversely proportional to vaccination coverage.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15511353</PMID><DateCompleted><Year>2005</Year><Month>01</Month><Day>25</Day></DateCompleted><DateRevised><Year>2019</Year><Month>09</Month><Day>06</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0212-6567</ISSN><JournalIssue CitedMedium="Print"><Volume>34</Volume><Issue>7</Issue><PubDate><Year>2004</Year><Month>Oct</Month><Day>31</Day></PubDate></JournalIssue><Title>Atencion primaria</Title><ISOAbbreviation>Aten Primaria</ISOAbbreviation></Journal><ArticleTitle>[Influence of physician and physician list characteristics on influenza vaccination rates in older people in a health care area in the community of Valencia, Spain].</ArticleTitle><Pagination><MedlinePgn>336-42</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To identify the characteristics of physicians and the patients on their list related with rates of influenza vaccination in older people, and to quantify influenza vaccination coverage in this population group.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Observational, cross-sectional, multicenter population-based study with primary data.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">All health centers in the health care area that used computerized registries of influenza vaccinations. Vaccination records were analyzed for 73 physicians who had been at their present post for at least 2 years prior to the study, and for 19 457 older people who were vaccinated during the 2001-2002 vaccination campaign.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Primary health care area number 19.</AbstractText><AbstractText Label="MAIN MEASURES" NlmCategory="METHODS">Physician's age and sex, whether the physician was certified as a specialist in family and community medicine, teaching accreditation, permanent or temporary post, length of time in present post, years of professional practice, type of health center administration, total number of patients in the physician's list, population and percentage of the population >65 years old in the physician's list, influenza vaccination rate referred to the total number of patients on the physician's list. The criterion evaluated was the influenza vaccination rate in older people. Descriptive analysis, bivariate analysis and multivariate analysis were used. A P value < .05 was considered statistically significant, and 95% confidence intervals were calculated.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The overall influenza vaccination rate in older people (>65 years) was 50.9%, with considerable variability between physicians (from 18% to 77%). Vaccination rates were lowest in physicians who had been in their current post for longer (P=.001), with larger patient lists (P=.03), with more older people in their list (P=.000), and with larger proportions of older people in their list (P=.001). Lower rates of vaccination in older people were also associated with lower proportions of all patients on the list being vaccinated (P=.000). No significant associations were found for any of the other variables. After multivariate analysis only the percentage of older people on the physician's list remained significantly associated with vaccination rate.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Influenza vaccination rates for older people were low and similar to rates reported earlier for this region of Spain. The percentage of older people in the list was the only explanatory variable in the model, and was inversely proportional to vaccination coverage.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Schwarz Chávarri</LastName><ForeName>H</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Unidad de Calidad y Formación, Area 18, Alicante, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pedrera Carbonell</LastName><ForeName>V</ForeName><Initials>V</Initials></Author><Author ValidYN="Y"><LastName>Ortuño López</LastName><ForeName>J L</ForeName><Initials>JL</Initials></Author><Author ValidYN="Y"><LastName>Orozco Beltrán</LastName><ForeName>D</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Gil Guillén</LastName><ForeName>V</ForeName><Initials>V</Initials></Author><Author ValidYN="Y"><LastName>Pastor Climent</LastName><ForeName>M A</ForeName><Initials>MA</Initials></Author></AuthorList><Language>spa</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType></PublicationTypeList><VernacularTitle>Influencia de las características de los médicos y del cupo en la vacunación antigripal de ancianos en un área de salud de la comunidad Valenciana.</VernacularTitle></Article><MedlineJournalInfo><Country>Spain</Country><MedlineTA>Aten Primaria</MedlineTA><NlmUniqueID>9111075</NlmUniqueID><ISSNLinking>0212-6567</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Aten Primaria. 2004 Oct 31;34(7):343-4</RefSource><PMID Version="1">15511354</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="Y">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015999" MajorTopicYN="N">Multivariate Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010818" MajorTopicYN="N">Practice Patterns, Physicians'</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012042" MajorTopicYN="N">Registries</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2004</Year><Month>10</Month><Day>30</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2005</Year><Month>1</Month><Day>26</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2004</Year><Month>10</Month><Day>30</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">15511353</ArticleId><ArticleId IdType="pii">13067768</ArticleId><ArticleId IdType="doi">10.1016/s0212-6567(04)79512-8</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country></list><tree><noCountry><name sortKey="Gil Guillen, V" sort="Gil Guillen, V" uniqKey="Gil Guillen V" first="V" last="Gil Guillén">V. Gil Guillén</name><name sortKey="Orozco Beltran, D" sort="Orozco Beltran, D" uniqKey="Orozco Beltran D" first="D" last="Orozco Beltrán">D. Orozco Beltrán</name><name sortKey="Ortu O L Pez, J L" sort="Ortu O L Pez, J L" uniqKey="Ortu O L Pez J" first="J L" last="Ortu O L Pez">J L Ortu O L Pez</name><name sortKey="Pastor Climent, M A" sort="Pastor Climent, M A" uniqKey="Pastor Climent M" first="M A" last="Pastor Climent">M A Pastor Climent</name><name sortKey="Pedrera Carbonell, V" sort="Pedrera Carbonell, V" uniqKey="Pedrera Carbonell V" first="V" last="Pedrera Carbonell">V. Pedrera Carbonell</name></noCountry><country name="Espagne"><noRegion><name sortKey="Schwarz Chavarri, H" sort="Schwarz Chavarri, H" uniqKey="Schwarz Chavarri H" first="H" last="Schwarz Chávarri">H. Schwarz Chávarri</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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