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

Department of Family Medicine, University of Calgary, 1707-1632 14th Avenue, Calgary, Alberta T2M 1N7, Canada.
Vaccine (Impact Factor: 3.62). 12/2009; 28(7):1684-701. DOI: 10.1016/j.vaccine.2009.11.067
Source: PubMed


A systematic literature review identified 44 RCTs testing interventions to increase influenza vaccination rates among seniors >or=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 >or=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.

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    • "Removal of logistic barriers could give the elderly an incentive to accept vaccination and obtain it at locations other than the GP's office . There is strong evidence that vaccinating elderly people during home visits and using facilitators in the practice, for instance, would increase uptake of the influenza vaccine (Thomas et al., 2010). The effect of such interventions remains to be demonstrated among community-dwelling adults, however (Lau et al., 2012). "
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