Serveur d'exploration sur la grippe en Espagne

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[Impact of various strategies on the rates of flu vaccination in the elderly].

Identifieur interne : 000675 ( Main/Exploration ); précédent : 000674; suivant : 000676

[Impact of various strategies on the rates of flu vaccination in the elderly].

Auteurs : J. Puig-Barberà [Espagne] ; P. Ors Zarzoso ; C. Vilchez Pe A ; F. Lloria Paes

Source :

RBID : pubmed:10372456

Descripteurs français

English descriptors

Abstract

OBJECTIVE

To calculate the impact of different interventions on the rates of anti-flu vaccination in people aged 65 and over.

DESIGN

Ecological study with analytical components.

SETTING

Health centres and clinics in two health areas in the Community of Valencia.

PATIENTS AND OTHER PARTICIPANTS

Care units, characterised by their coverage of stable nuclei of 500 or more people, total population of 415,172 inhabitants.

INTERVENTIONS

Use of the communication media, personal invitations by post and telephone; follow-up of activity, discussion of results, external evaluations; registration of people to be vaccinated and prior order to nursing staff to vaccinate.

MEASUREMENTS AND MAIN RESULTS

The coverage in quartiles of the previous season and the human resources per thousand inhabitants were the structural factors which best explained the vaccination rates. In the multivariate analysis, invitation by letter had relative risk (RR) of 1.062 (95% CI, 1.036-1.088); telephone call, RR 1.075 (95% CI, 1.021-1.132); discussion of external evaluations, RR 1.046 (95% CI, 1.024-1.068); and the order of vaccination to nursing staff, RR 1.056 (95% CI, 1.025-1.088). All these were associated with greater coverage. The absolute difference in coverage achieved between the care units which invited people to be vaccinated by letter and phone, at which nurses vaccinated directly, and which discussed external evaluations, and the units which did not perform these above activities, was 14 points (95% CI, 13.3-14.5), independently of the other factors.

CONCLUSIONS

The previous year's coverage, human resources, invitation by letter or phone, the order to nursing to vaccinate and the discussion of external evaluations, were all associated, independently, with higher rates of vaccination.


PubMed: 10372456


Affiliations:


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Le document en format XML

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<title xml:lang="en">[Impact of various strategies on the rates of flu vaccination in the elderly].</title>
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<name sortKey="Puig Barbera, J" sort="Puig Barbera, J" uniqKey="Puig Barbera J" first="J" last="Puig-Barberà">J. Puig-Barberà</name>
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<nlm:affiliation>Unidad de Programas de Promoción de Salud, Centro de Salud Pública de Castellón, Conselleria de Sanitat, Generalitat Valenciana. juan.puig@sanidad.m400.gva.es</nlm:affiliation>
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<name sortKey="Ors Zarzoso, P" sort="Ors Zarzoso, P" uniqKey="Ors Zarzoso P" first="P" last="Ors Zarzoso">P. Ors Zarzoso</name>
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<name sortKey="Vilchez Pe A, C" sort="Vilchez Pe A, C" uniqKey="Vilchez Pe A C" first="C" last="Vilchez Pe A">C. Vilchez Pe A</name>
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<name sortKey="Lloria Paes, F" sort="Lloria Paes, F" uniqKey="Lloria Paes F" first="F" last="Lloria Paes">F. Lloria Paes</name>
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<term>Influenza, Human (prevention & control)</term>
<term>Spain (MeSH)</term>
<term>Vaccination (statistics & numerical data)</term>
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<term>Espagne (MeSH)</term>
<term>Grippe humaine (prévention et contrôle)</term>
<term>Humains (MeSH)</term>
<term>Programmes de vaccination (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Vaccination (statistiques et données numériques)</term>
<term>Vaccins antigrippaux (MeSH)</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Influenza Vaccines</term>
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<term>Influenza, Human</term>
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<term>Grippe humaine</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Vaccination</term>
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<term>Vaccination</term>
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<term>Aged</term>
<term>Humans</term>
<term>Immunization Programs</term>
<term>Spain</term>
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<term>Espagne</term>
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<b>OBJECTIVE</b>
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<p>To calculate the impact of different interventions on the rates of anti-flu vaccination in people aged 65 and over.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DESIGN</b>
</p>
<p>Ecological study with analytical components.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>SETTING</b>
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<p>Health centres and clinics in two health areas in the Community of Valencia.</p>
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<div type="abstract" xml:lang="en">
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<b>PATIENTS AND OTHER PARTICIPANTS</b>
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<p>Care units, characterised by their coverage of stable nuclei of 500 or more people, total population of 415,172 inhabitants.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>INTERVENTIONS</b>
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<p>Use of the communication media, personal invitations by post and telephone; follow-up of activity, discussion of results, external evaluations; registration of people to be vaccinated and prior order to nursing staff to vaccinate.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MEASUREMENTS AND MAIN RESULTS</b>
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<p>The coverage in quartiles of the previous season and the human resources per thousand inhabitants were the structural factors which best explained the vaccination rates. In the multivariate analysis, invitation by letter had relative risk (RR) of 1.062 (95% CI, 1.036-1.088); telephone call, RR 1.075 (95% CI, 1.021-1.132); discussion of external evaluations, RR 1.046 (95% CI, 1.024-1.068); and the order of vaccination to nursing staff, RR 1.056 (95% CI, 1.025-1.088). All these were associated with greater coverage. The absolute difference in coverage achieved between the care units which invited people to be vaccinated by letter and phone, at which nurses vaccinated directly, and which discussed external evaluations, and the units which did not perform these above activities, was 14 points (95% CI, 13.3-14.5), independently of the other factors.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>The previous year's coverage, human resources, invitation by letter or phone, the order to nursing to vaccinate and the discussion of external evaluations, were all associated, independently, with higher rates of vaccination.</p>
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