Systematic review of interventions to increase influenza vaccination rates of those 60 years and older

被引:26
作者
Thomas, Roger E. [1 ]
Russell, Margaret L. [2 ]
Lorenzetti, Diane L. [3 ]
机构
[1] Univ Calgary, Dept Family Med, Calgary, AB T2M 1N7, Canada
[2] Univ Calgary, Dept Community Hlth Sci, Fac Med, Calgary, AB T2M 1N7, Canada
[3] Univ Calgary, Ctr Hlth & Policy Studies, Dept Community Hlth Sci, Fac Med, Calgary, AB T2M 1N7, Canada
关键词
Influenza; Vaccination; Seniors; RANDOMIZED CONTROLLED-TRIAL; PNEUMOCOCCAL IMMUNIZATION RATES; HIGH-RISK PATIENTS; ELDERLY-PEOPLE; POSTCARD REMINDERS; IMPROVE INFLUENZA; MAILED REMINDERS; COVERAGE RATES; PUBLIC-HEALTH; MANAGED CARE;
D O I
10.1016/j.vaccine.2009.11.067
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
A systematic literature review identified 44 RCTs testing interventions to increase influenza vaccination rates among seniors >= 60. Case-control and cohort studies were excluded after review because of problems identifying secular trends and unknown confounders. Because of heterogeneity and unique interventions tested by a single or a few RCTs few studies could be pooled in meta-analysis. Using the CDC classification of interventions: (1) Increasing community demand: there is evidence of low quality that reminders increase influenza vaccination rates; (2) Increasing access: there is evidence of moderate quality that home visits to those >= 60 promoting influenza vaccination increase rates, and (3) Provider- and system-based interventions: there is evidence of moderate quality that facilitators working to improve preventive interventions in practices increase rates. (C) 2009 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1684 / 1701
页数:18
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