The influence of health professionals on the uptake of the influenza immunization

Nuttall, Dilyse

doi:10.12968/bjcn.2003.8.9.11571

Cited by 12 publications

(3 citation statements)

References 18 publications

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“…Of 30 studies evaluating interventions in primary-care settings, patient-level components were included in more than 75 percent of interventions. Patient mailings were among the most frequent patient-level program components either alone (18)(19)(20)(21) or in combination with other intervention components (14,(22)(23)(24)(25)(26)(27)(28)(29)(30)(31). A variety of other patient-level interventions have been evaluated, including telephone reminders (23,26,(32)(33)(34)(35), patient education (36)(37)(38)(39), home visits (27,29,40,41), clinic-based advertising (23,38,42), vaccination offers during office visits (28), and case management (43).…”

Section: Resultsmentioning

confidence: 99%

Distribution of Influenza Vaccine to High-Risk Groups

Ompad

Galea

Vlahov

2006

Epidemiologic Reviews

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Vaccine distribution programs have historically targeted individuals at high risk of complications due to influenza. Despite recommendations from the Advisory Committee on Immunization Practices, vaccination coverage among high-risk populations has been generally low. This review systematically summarizes the recent literature evaluating programs in different settings, from within medical settings to venue-based and community-based approaches, in an effort to identify successful program components. The published literature was identified by using the MEDLINE database from 1990 to 2006 covering studies that reported on interventions or programs aimed at vaccinating high-risk populations. The authors reviewed 56 studies. In the United States, the Healthy People 2010 goals included 90% vaccination coverage for adults aged > or = 65 years and 60% for high-risk adults aged 18-64 years. Only a handful of the studies reviewed managed to meet those goals. Interventions that increased vaccination coverage to Healthy People 2010 goals included advertising, provider and patient mailings, registry-based telephone calls, patient and staff education, standing orders coupled with standardized forms, targeting of syringe exchange customers, and visiting nurses. Few studies evaluated the impact of vaccination programs by race/ethnicity and socioeconomic status. Few studies targeted individuals outside of the health-care and social services sectors. Given the growing disparities in health and health-care access, understanding the way in which interventions can remedy disparities is crucial.

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Section: Resultsmentioning

confidence: 99%

Distribution of Influenza Vaccine to High-Risk Groups

Ompad

Galea

Vlahov

2006

Epidemiologic Reviews

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“… 1318 (660/658) Adj OR 1.29 (CI 1.03-1.62) for phone call ( p =0.026) Low risk of bias. Nuttall, 2003 [ 54 ] Previous non-attenders aged 65-90 from a general practice in Lancashire. Influenza Reminder/recall & outreach Letter vs. leaflet vs. letter & home visit to discuss vaccination.…”

Section: Resultsmentioning

confidence: 99%

“…Four studies examined reminder/recall interventions in increasing uptake of seasonal influenza vaccination in adults [ 52 – 55 ]. Two of these combined reminders to eligible patients with a home visit component, compared to reminders alone [ 52 , 54 ]. One study had a high risk of performance and attrition bias and the other had a low risk of bias but was under-powered (90 subjects).…”

Section: Resultsmentioning

confidence: 99%

Vaccination in England: a review of why business as usual is not enough to maintain coverage

Crocker-Buqué

Mounier-Jack

2018

BMC Public Health

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BackgroundThe vaccine system in England underwent radical changes in 2013 following the implementation of the Health and Social Care Act. There have since been multi-year decreases in coverage of many vaccines. Healthcare professionals have reported finding the new system fragmented and challenging. This study aims to produce a logic model of the new system and evaluate the available evidence for interventions to improve coverage.MethodsWe undertook qualitative document analysis to develop the logic model using process evaluation methods. We performed a systematic review by searching 12 databases with a broad search strategy to identify interventions studied in England conducted between 2006 and 2016 and evaluated their effectiveness. We then compared the evidence base to the logic model.ResultsWe analysed 83 documents and developed a logic model describing the core inputs, processes, activities, outputs, outcomes and impacts of the new vaccination system alongside the programmatic assumptions for each stage. Of 9,615 unique articles, we screened 624 abstracts, 45 full-text articles, and included 16 studies: 8 randomised controlled trials and 8 quasi-experimental studies. Four studies suggest that modifications to the contracting and incentive systems can increase coverage, but changes to other programme inputs (e.g. human or capital resources) were not evaluated. Four multi-component intervention studies modified activities and outputs from within a GP practice to increase coverage, but were part of campaigns or projects. Thus, many potentially modifiable factors relating to routine programme implementation remain unexplored. Reminder/recall systems are under-studied in England; incentive payments to adolescents may be effective; and only two studies evaluated carer information.ConclusionsThe evidence base for interventions to increase immunisation coverage in the new system in England are limited by a small number of studies and by significant risk of bias. Several areas important to primary care remain unexplored as targets for interventions, especially modification to organisational management.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-6228-5) contains supplementary material, which is available to authorized users.

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