Strategies to increase influenza vaccination rates: outcomes of a nationwide cross-sectional survey of UK general practice.

BMJ Open
Laura J DexterRobert C Read

Abstract

To identify practice strategies associated with higher flu vaccination rates in primary care. Logistic regression analysis of data from a cross-sectional online questionnaire. 795 general practices across England. 569 practice managers, 335 nursing staff and 107 general practitioners. Flu vaccination rates achieved by each practice in different groups of at-risk patients. 7 independent factors associated with higher vaccine uptake were identified. Having a lead staff member for planning the flu campaign and producing a written report of practice performance predicted an 8% higher vaccination rate for at-risk patients aged <65 years (OR 1.37, 95% CI 1.10 to 1.71). These strategies, plus sending a personal invitation to all eligible patients and only stopping vaccination when Quality and Outcomes Framework targets are reached, predicted a 7% higher vaccination rate (OR 1.45, 95% CI 1.10 to 1.92) in patients aged ≥65 years. Using a lead member of staff for identifying eligible patients, with either a modified manufacturer's or in-house search programme for interrogating the practice IT system, independently predicted a 4% higher vaccination rate in patients aged ≥65 years (OR 1.22, 95% CI 1.06 to 1.41/OR 1.20, 95% CI 1.03 to 1.40)...Continue Reading

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