Promoting influenza vaccination in older people: rationale and reality.

Influenza is a serious, preventable disease for older people. Vaccination saves lives and reduces healthcare costs. The UK should be vaccinating 85% of risk groups by 2010. The uptake of vaccination is influenced by four factors: the socioeconomic status of patients; the system of vaccination; vaccine mistrust and fear of side-effects; and health beliefs. An effective vaccination programme needs to target and be sensitive to the particular needs of older people. It should include a combination of strategies to promote vaccination (flyers, personal invitations; doctor's recommendation); acknowledgement of lay beliefs; special clinics organized around older people; and special arrangements for housebound older people and those living in care homes.