OBJECTIVE: To determine the proportion of older patients (>or= 65 years) with chronic diseases served by the health center studied here who were not vaccinated during the 2001-2002 influenza vaccination campaign, and to find out why they were not vaccinated. DESIGN: Observational, descriptive, retrospective study. SETTING: The urban health center serving Area 19 in the Community of Valencia (eastern Spain). PARTICIPANTS: Of the 29757 inhabitants served by this center (10.4% >or= 65 years), we included 3868 patients registered in chronic disease care programs and 2980 registered in the influenza vaccination program. We found 853 older patients with chronic diseases who were not vaccinated. MAIN MEASURES: Vaccination rate for patients with chronic diseases, for older patients, and for older patients with chronic diseases. Audit of the medical records to identify the reasons why some patients in the latter group were not vaccinated. RESULTS: The vaccination rates were 52.12% (95% CI, 50.4-53.9) for older patients, 26.96% (95% CI, 25.6-28.4) for patients with chronic diseases, and 54.43% (95% CI, 51.4-57.5) for older patients with chronic diseases. Of the 853 older patients with chronic diseases who were not vaccinated, 48.17% came to the center at least once during the vaccination campaign, 27.34% had not come to the center since more than 1 year before the campaign, and the cause for nonvaccination was recorded for only 10.4%. CONCLUSIONS: Coverage for influenza vaccination in older patients with chronic diseases was low. Intervention to increase vaccination rates is possible in groups of patients for whom accessibility is good.
OBJECTIVE: To determine the proportion of older patients (>or= 65 years) with chronic diseases served by the health center studied here who were not vaccinated during the 2001-2002 influenza vaccination campaign, and to find out why they were not vaccinated. DESIGN: Observational, descriptive, retrospective study. SETTING: The urban health center serving Area 19 in the Community of Valencia (eastern Spain). PARTICIPANTS: Of the 29757 inhabitants served by this center (10.4% >or= 65 years), we included 3868 patients registered in chronic disease care programs and 2980 registered in the influenza vaccination program. We found 853 older patients with chronic diseases who were not vaccinated. MAIN MEASURES: Vaccination rate for patients with chronic diseases, for older patients, and for older patients with chronic diseases. Audit of the medical records to identify the reasons why some patients in the latter group were not vaccinated. RESULTS: The vaccination rates were 52.12% (95% CI, 50.4-53.9) for older patients, 26.96% (95% CI, 25.6-28.4) for patients with chronic diseases, and 54.43% (95% CI, 51.4-57.5) for older patients with chronic diseases. Of the 853 older patients with chronic diseases who were not vaccinated, 48.17% came to the center at least once during the vaccination campaign, 27.34% had not come to the center since more than 1 year before the campaign, and the cause for nonvaccination was recorded for only 10.4%. CONCLUSIONS: Coverage for influenza vaccination in older patients with chronic diseases was low. Intervention to increase vaccination rates is possible in groups of patients for whom accessibility is good.
Authors: J Nordin; J Mullooly; S Poblete; R Strikas; R Petrucci; F Wei; B Rush; B Safirstein; D Wheeler; K L Nichol Journal: J Infect Dis Date: 2001-08-09 Impact factor: 5.226
Authors: Kristin L Nichol; James Nordin; John Mullooly; Richard Lask; Kelly Fillbrandt; Marika Iwane Journal: N Engl J Med Date: 2003-04-03 Impact factor: 91.245
Authors: G J Díaz Grávalos; G Palmeiro Fernández; L A Vázquez Fernández; I Casado Górriz; M A Fernández Bernárdez; J R Sobrado Palomares Journal: Aten Primaria Date: 1999-09-15 Impact factor: 1.137
Authors: J Puig-Barberà; S Márquez-Calderón; A Masoliver-Fores; F Lloria-Paes; A Ortega-Dicha; M Gil-Martín; M J Calero-Martínez Journal: J Epidemiol Community Health Date: 1997-10 Impact factor: 3.710
Authors: M J Mulet Pons; M T Sarrión Ferre; A Barea Montoro; N Marín Rueda; J J Blanquer Grégori; M A Melchor Penella Journal: Aten Primaria Date: 1995-10-31 Impact factor: 1.137
Authors: Bonaventura Bolíbar; Clara Pareja; M Pilar Astier-Peña; Julio Morán; Teresa Rodríguez-Blanco; Magdalena Rosell-Murphy; Manuel Iglesias; Sebastián Juncosa; Juanjo Mascort; Concepció Violan; Rosa Magallón; Javier Apezteguia Journal: BMC Public Health Date: 2008-08-08 Impact factor: 3.295