Abstract
Following a computer-generated, randomized, chart review at the Sunnybrook Medical Centre Family Practice Unit, an attempt was made to delineate the factors that would determine the likelihood of influenza vaccination in the elderly population during 1985 and/or 1986. Although current recommendations call for vaccination of all patients over the age of 65, particularly those with chronic underlying disease, only the presence of chronic obstructive lung disease (p = 0.003) and the total number of visits (p = 0.0001) were found to be significant among 15 variables examined in 451 patients. A subsequent questionnaire relating to vaccination was distributed to the participating family practitioners to determine the degree to which physicians' ideas about indications for influenza vaccination concur with the actual determinants of patients being immunized in their practices. The overall Sunnybrook vaccination rate was compatible with that obtained in national surveys, indicating that compliance rates are remarkably low (20%).
Keywords: influenza, vaccination, variables
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Anderson C., Martin H. Effectiveness of patient recall system on immunization rates for influenza. J Fam Pract. 1979 Oct;9(4):727–730. [PubMed] [Google Scholar]
- Carter W. B., Beach L. R., Inui T. S., Kirscht J. P., Prodzinski J. C. Developing and testing a decision model for predicting influenza vaccination compliance. Health Serv Res. 1986 Feb;20(6 Pt 2):897–932. [PMC free article] [PubMed] [Google Scholar]
- Dixon T. Prevention: beliefs and behaviour. Can Fam Physician. 1987 Jan;33:7–7. [PMC free article] [PubMed] [Google Scholar]
- Frank J. W., Henderson M., McMurray L. Influenza vaccination in the elderly: 1. Determinants of acceptance. Can Med Assoc J. 1985 Feb 15;132(4):371–375. [PMC free article] [PubMed] [Google Scholar]
- McDowell I., Newell C., Rosser W. Comparison of three methods of recalling patients for influenza vaccination. CMAJ. 1986 Nov 1;135(9):991–997. [PMC free article] [PubMed] [Google Scholar]
- Schoenbaum S. C. Influenza vaccine--unacceptable or unaccepted. Am J Public Health. 1979 Mar;69(3):219–221. doi: 10.2105/ajph.69.3.219. [DOI] [PMC free article] [PubMed] [Google Scholar]