Article

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: 3.49). 12/2009; 28(7):1684-701. DOI: 10.1016/j.vaccine.2009.11.067
Source: PubMed

ABSTRACT 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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