Impact of postal invitations and user fee on influenza vaccination rates among the elderly: A randomized controlled trial in general practice

Nexøe, Jørgen; Kragstrup, Jakob; Rønne, T

doi:10.3109/02813439709018497

Cited by 49 publications

(35 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a meta-analysis of 16 studies into the effectiveness of interventions to increase influenza immunisation rates, the vaccination rate was approximately twice as high in the intervention group than among controls, irrespective of the method used (patientfocused, provider-focused or mixed) [338]. However, in elderly and high-risk outpatients, home visits, personal reminders and/or vaccinations given for free may be the most effective ways to improve vaccine uptake [339][340][341][342][343]. Interventions to increase vaccine uptake, e.g.…”

Section: Vaccine Uptakementioning

confidence: 99%

Guidelines for the management of adult lower respiratory tract infections

Woodhead¹

2005

European Respiratory Journal

681

555

View full text Add to dashboard Cite

Section: Vaccine Uptakementioning

confidence: 99%

Guidelines for the management of adult lower respiratory tract infections

Woodhead¹

2005

European Respiratory Journal

681

555

View full text Add to dashboard Cite

“…The pooled odds ratio expressing the effectiveness of all quality improvement interventions for either vaccination was 1.61 (95% CI, 1.49-1.75; P <.001; I 2 = 85%). 23,24 appeared to be more effective than those providing a small reward in addition to preexisting third-party vaccination coverage. 25,26 Insuffi cient studies were available to test this hypothesis statistically, however.…”

Section: Main Meta-analysesmentioning

confidence: 99%

“…The 2 successful studies of patient fi nancial incentives took place in out-of-pocket payment environments. 23,24 Where demand for vaccinations is not pent up by inability to pay, the benefi t of patient incentives may be smaller. 25,26 Case management, surprisingly, was not very effective-possibly because case managers may have prioritized other disease-related process of care.…”

mentioning

confidence: 99%

Interventions to Improve Influenza and Pneumococcal Vaccination Rates Among Community-Dwelling Adults: A Systematic Review and Meta-Analysis

Lau

Majumdar

et al. 2012

The Annals of Family Medicine

115

View full text Add to dashboard Cite

PURPOSE Infl uenza and pneumococcal vaccination rates remain below national targets. We systematically reviewed the effectiveness of quality improvement interventions for increasing the rates of infl uenza and pneumococcal vaccinations among community-dwelling adults. METHODSWe included randomized and nonrandomized studies with a concurrent control group. We estimated pooled odds ratios using random effects models, and used the Downs and Black tool to assess the quality of included studies. RESULTSMost studies involved elderly primary care patients. Interventions were associated with improvements in the rates of any vaccination (111 comparisons in 77 studies, pooled odds ratio [OR] = 1.61, 95% CI, 1.49-1.75), and infl uenza (93 comparisons, 65 studies, OR = 1.46, 95% CI, 1.35-1.57) and pneumococcal (58 comparisons, 35 studies, OR = 2.01, 95% CI, 1.72-2.3) vaccinations. Interventions that appeared effective were patient fi nancial incentives (infl uenza only), audit and feedback (infl uenza only), clinician reminders, clinician fi nancial incentives (infl uenza only), team change, patient outreach, delivery site changes (infl uenza only), clinician education (pneumococcus only), and case management (pneumococcus only). Patient outreach was more effective if personal contact was involved. Team changes were more effective where nurses administered infl uenza vaccinations independently. Heterogeneity in some pooled odds ratios was high, however, and funnel plots showed signs of potential publication bias. Study quality varied but was not associated with outcomes.CONCLUSIONS Quality improvement interventions, especially those that assign vaccination responsibilities to nonphysician personnel or that activate patients through personal contact, can modestly improve vaccination rates in communitydwelling adults. To meet national policy targets, more-potent interventions should be developed and evaluated. INTRODUCTIONI nfl uenza and pneumococcal disease are vaccine-preventable causes of morbidity and mortality. [1][2][3] Clinical practice guidelines have recommended routine infl uenza and pneumococcal vaccinations for elderly and nonelderly high-risk patients. [4][5][6] More recently, infl uenza vaccinations have been recommended for all individuals older than 6 months. 7 Even so, vaccination rates remain low. 8,9 Studies of interventions for improving adult infl uenza and pneumococcal vaccination rates are numerous and have been synthesized in several systematic reviews. Jacobson and Szilagyi found that patient reminder and recall systems improved vaccination rates. 10 The US Preventive Services 14 Most recently, Thomas et al found evidence of moderate quality that increasing community demand, vaccinating seniors during home visits, and deploying prevention facilitators working with health professionals improved infl uenza vaccination rates.15 Though important, these reviews have a variety of limitations. For example, Thomas et al included randomized controlled trials, most of which were graded low in quality. ...

show abstract

“…26 -85 Nine additional papers provided more information regarding an already included study. 86 -94 A total of 18 studies had limited execution 26,27,34,51,54,56,60,62,69,70,75,81,85 or least suitable designs 35,44,53,58,73 and were therefore not included in clinic-based education, 28,29,31,33,36,42 provider education, 30 -33,36,63 reducing out-of-pocket costs, 28,30,32,66,71,76 provider assessment and feedback, 36,42,47 client incentives, 33,66,84 28 Two qualifying studies 78,84 provided data that could not be expressed as a percentage point change in coverage. The remaining studies provided data regarding 31 single-component and 23 multicomponent intervention arms.…”

Section: Client Reminder/recallmentioning

confidence: 99%

Reviews of evidence regarding interventions to improve vaccination coverage in children, adolescents, and adults11The names and affiliations of the Task Force members are listed on page v of this supplement and at http://www.thecommunityguide.org22Some of this material was published previously in: Shefer A, Briss P, Rodewald L, et al. Improving immunization coverage rates: an evidence-based review of the literature. Epidemiol Rev 1999;20:96–142.

Briss

Rodewald

Hinman

et al. 2000

American Journal of Preventive Medicine

467

103

View full text Add to dashboard Cite

Background: This paper presents the results of systematic reviews of the effectiveness, applicability, other effects, economic impact, and barriers to use of selected population-based interventions intended to improve vaccination coverage. The related systematic reviews are linked by a common conceptual approach. These reviews form the basis for recommendations by the Task Force on Community Preventive Services (the Task Force) regarding the use of these selected interventions. The Task Force recommendations are presented on pp. 92-96 of this issue. Medical Subject Headings (MeSH):vaccine-preventable diseases, vaccination coverage, community health services, decision-making, evidence-based medicine, systematic reviews, population-based interventions, practice guidelines, preventive health services, public health practice, task force. Introduction V accine-preventable diseases among children, adolescents, and adults represent major continuing causes of morbidity and mortality in the United States. During the latter half of the twentieth century, the success of childhood vaccination programs in the United States has led to a Ͼ95 % decline in most vaccine-preventable diseases of childhood. However, Ͼ400,000 cases of illness and Ͼ30,000 deaths caused by vaccine-preventable diseases still occur each year 1 (CDC unpublished data).Diphtheria, invasive Haemophilus influenzae type b (Hib) disease, measles, poliomyelitis, rubella, tetanus, mumps, varicella, and pertussis are typically referred to as vaccine-preventable diseases of childhood. Vaccinations primarily indicated for adults include influenza, pneumococcal, and hepatitis B. However, during the 1990s, the distinction between childhood and adult vaccine-preventable diseases became less clear. Many childhood vaccine-preventable infections, including measles and pertussis, are found increasingly among adults, 2,3 and hepatitis B vaccinations are now routinely recommended for infants and adolescents. Table 1 outlines universally recommended (i.e., vaccinations recommended for most or all persons in certain age groups) vaccinations for children, adolescents, and older adults.In children, Ͼ50,000 cases of varicella occur each year, making that disease the most common vaccinepreventable disease among children 4 ; in adults, influenza, pneumococcal disease, and hepatitis B are all still common vaccine-preventable diseases, with hundreds of thousands of cases occurring each year.5 Mortality attributable to vaccine-preventable diseases is still substantial. Each year, approximately 500 persons in the United States die of childhood vaccine-preventable diseases, and Ͼ30,000 adults die of influenza, pneumococcal infections, and hepatitis B.1 Influenza, which accounts for an average of 20,000 deaths/year, is usually the largest killer. 5The effectiveness of universally recommended vaccinations in preventing disease for adults, adolescents, and children is well-established. 6 -14 In addition to protecting individuals from diseases passed from person to person contact, vaccinat...

show abstract

Impact of postal invitations and user fee on influenza vaccination rates among the elderly: A randomized controlled trial in general practice

Abstract: It is suggested that GPs send postal invitations to their elderly patients in the risk groups urgently recommending influenza vaccination. Attention should also be given to offering free influenza vaccination to elderly patients who have recognized indications for vaccination.

Cited by 49 publications

References 7 publications

Guidelines for the management of adult lower respiratory tract infections

Guidelines for the management of adult lower respiratory tract infections

Interventions to Improve Influenza and Pneumococcal Vaccination Rates Among Community-Dwelling Adults: A Systematic Review and Meta-Analysis

Contact Info

Product

Resources

About